A case of lockjaw in the emergency department

Tetanus with cephalic involvement is not a typical presentation of the disease; characteristic signs and symptoms are strictly localized in cranial district, although it could frequently progress to the classical generalized form. Tetanus is still spread worldwide, especially in particular subgroups...

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Main Authors: Giulia Marullo, Giulia Maria Bottani, Rossella Guerrieri, Adriano Basile, Paolo Aseni, Andrea Bellone
Format: Article
Language:English
Published: PAGEPress Publications 2018-08-01
Series:Emergency Care Journal
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/ecj/article/view/7410
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author Giulia Marullo
Giulia Maria Bottani
Rossella Guerrieri
Adriano Basile
Paolo Aseni
Andrea Bellone
author_facet Giulia Marullo
Giulia Maria Bottani
Rossella Guerrieri
Adriano Basile
Paolo Aseni
Andrea Bellone
author_sort Giulia Marullo
collection DOAJ
description Tetanus with cephalic involvement is not a typical presentation of the disease; characteristic signs and symptoms are strictly localized in cranial district, although it could frequently progress to the classical generalized form. Tetanus is still spread worldwide, especially in particular subgroups as elderly and newborn babies and in countries with an inadequate vaccine coverage.We report a case of an adult man with generalized tetanus with cephalic presentation in Emergency Department. We aim to outline how difficult it was to diagnose in an adult patient without apparent exposition of previous minimal trauma or injury because of a lot of confusing factors and slow progressing clinical signs. Prompt recognition of signs and symptoms, opportune target therapy and supportive care, in association with correct vaccination schedule, are paramount to determine the prognosis for affected patients.
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spelling doaj.art-c135b78d29a645b5b3d257e6997ea6f12022-12-22T02:30:50ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542018-08-0114210.4081/ecj.2018.74105833A case of lockjaw in the emergency departmentGiulia Marullo0Giulia Maria Bottani1Rossella Guerrieri2Adriano Basile3Paolo Aseni4Andrea Bellone5Emergency Department, Bicocca University of MilanEmergency Department, Bicocca University of MilanEmergency Department, Niguarda Hospital, MilanEmergency Department, Niguarda Hospital, MilanEmergency Department, Niguarda Hospital, MilanEmergency Department, Niguarda Hospital, MilanTetanus with cephalic involvement is not a typical presentation of the disease; characteristic signs and symptoms are strictly localized in cranial district, although it could frequently progress to the classical generalized form. Tetanus is still spread worldwide, especially in particular subgroups as elderly and newborn babies and in countries with an inadequate vaccine coverage.We report a case of an adult man with generalized tetanus with cephalic presentation in Emergency Department. We aim to outline how difficult it was to diagnose in an adult patient without apparent exposition of previous minimal trauma or injury because of a lot of confusing factors and slow progressing clinical signs. Prompt recognition of signs and symptoms, opportune target therapy and supportive care, in association with correct vaccination schedule, are paramount to determine the prognosis for affected patients.https://www.pagepressjournals.org/index.php/ecj/article/view/7410LockjawTetanusEmergency department
spellingShingle Giulia Marullo
Giulia Maria Bottani
Rossella Guerrieri
Adriano Basile
Paolo Aseni
Andrea Bellone
A case of lockjaw in the emergency department
Emergency Care Journal
Lockjaw
Tetanus
Emergency department
title A case of lockjaw in the emergency department
title_full A case of lockjaw in the emergency department
title_fullStr A case of lockjaw in the emergency department
title_full_unstemmed A case of lockjaw in the emergency department
title_short A case of lockjaw in the emergency department
title_sort case of lockjaw in the emergency department
topic Lockjaw
Tetanus
Emergency department
url https://www.pagepressjournals.org/index.php/ecj/article/view/7410
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