Tetanus: A report of two cases and review of literature – A continuing threat to the elderly in Japan
Tetanus has become rare in industrialized countries, largely due to the effectiveness of immunization. However, the elderly are susceptible to tetanus because many have not received primary immunization; the incidence of tetanus in Japan is still 120 cases/year. The initial symptoms of tetanus, such...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Contemporary Clinical Dentistry |
| Subjects: | |
| Online Access: | http://www.contempclindent.org/article.asp?issn=0976-237X;year=2017;volume=8;issue=4;spage=642;epage=644;aulast=Sugiura |
| _version_ | 1828865756863922176 |
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| author | Tsutomu Sugiura Kazuhiko Yamamoto Masatoshi Sato Tadaaki Kirita |
| author_facet | Tsutomu Sugiura Kazuhiko Yamamoto Masatoshi Sato Tadaaki Kirita |
| author_sort | Tsutomu Sugiura |
| collection | DOAJ |
| description | Tetanus has become rare in industrialized countries, largely due to the effectiveness of immunization. However, the elderly are susceptible to tetanus because many have not received primary immunization; the incidence of tetanus in Japan is still 120 cases/year. The initial symptoms of tetanus, such as trismus and dysphagia, are observed in the orofacial region. However, because of the disease's rarity, the clinician may be unfamiliar with the clinical presentation and may not suspect tetanus. We report two cases of elderly patients with generalized tetanus. Both patients presented trismus and/or dysphagia and consulted three different departments before the diagnosis of tetanus. Japanese clinicians will encounter tetanus more frequently than practitioners in other countries. Dental surgeons should be familiar with the clinical appearance of tetanus and should consider this disease in a nonimmunized patient presenting as an atypical case of trismus and dysphagia. |
| first_indexed | 2024-12-13T04:35:39Z |
| format | Article |
| id | doaj.art-823467b70a6f4f8282de23f8cad1eca5 |
| institution | Directory Open Access Journal |
| issn | 0976-237X 0976-2361 |
| language | English |
| last_indexed | 2024-12-13T04:35:39Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Contemporary Clinical Dentistry |
| spelling | doaj.art-823467b70a6f4f8282de23f8cad1eca52022-12-21T23:59:27ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612017-01-018464264410.4103/ccd.ccd_259_17Tetanus: A report of two cases and review of literature – A continuing threat to the elderly in JapanTsutomu SugiuraKazuhiko YamamotoMasatoshi SatoTadaaki KiritaTetanus has become rare in industrialized countries, largely due to the effectiveness of immunization. However, the elderly are susceptible to tetanus because many have not received primary immunization; the incidence of tetanus in Japan is still 120 cases/year. The initial symptoms of tetanus, such as trismus and dysphagia, are observed in the orofacial region. However, because of the disease's rarity, the clinician may be unfamiliar with the clinical presentation and may not suspect tetanus. We report two cases of elderly patients with generalized tetanus. Both patients presented trismus and/or dysphagia and consulted three different departments before the diagnosis of tetanus. Japanese clinicians will encounter tetanus more frequently than practitioners in other countries. Dental surgeons should be familiar with the clinical appearance of tetanus and should consider this disease in a nonimmunized patient presenting as an atypical case of trismus and dysphagia.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2017;volume=8;issue=4;spage=642;epage=644;aulast=SugiuraDysphagiatetanustrismus |
| spellingShingle | Tsutomu Sugiura Kazuhiko Yamamoto Masatoshi Sato Tadaaki Kirita Tetanus: A report of two cases and review of literature – A continuing threat to the elderly in Japan Contemporary Clinical Dentistry Dysphagia tetanus trismus |
| title | Tetanus: A report of two cases and review of literature – A continuing threat to the elderly in Japan |
| title_full | Tetanus: A report of two cases and review of literature – A continuing threat to the elderly in Japan |
| title_fullStr | Tetanus: A report of two cases and review of literature – A continuing threat to the elderly in Japan |
| title_full_unstemmed | Tetanus: A report of two cases and review of literature – A continuing threat to the elderly in Japan |
| title_short | Tetanus: A report of two cases and review of literature – A continuing threat to the elderly in Japan |
| title_sort | tetanus a report of two cases and review of literature a continuing threat to the elderly in japan |
| topic | Dysphagia tetanus trismus |
| url | http://www.contempclindent.org/article.asp?issn=0976-237X;year=2017;volume=8;issue=4;spage=642;epage=644;aulast=Sugiura |
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