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A case of lockjaw in the emergency department

Giulia Marullo, Giulia Maria Bottani, Rossella Guerrieri, Adriano Basile, Paolo Aseni, Andrea Bellone
  • Giulia Maria Bottani
    Emergency Department, Bicocca University of Milan, Italy
  • Rossella Guerrieri
    Emergency Department, Niguarda Hospital, Milan, Italy
  • Adriano Basile
    Emergency Department, Niguarda Hospital, Milan, Italy
  • Paolo Aseni
    Emergency Department, Niguarda Hospital, Milan, Italy
  • Andrea Bellone
    Emergency Department, Niguarda Hospital, Milan, Italy

Abstract

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.

Keywords

Lockjaw; Tetanus; Emergency department

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Submitted: 2018-03-10 13:16:27
Published: 2018-08-22 14:18:45
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Copyright (c) 2018 Giulia Marullo, Giulia Maria Bottani, Rossella Guerrieri, Adriano Basile, Paolo Aseni, Andrea Bellone

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