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Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 167-169

Severe generalized tetanus: A case report and literature review

1 Department of Emergency Medicine, College of Medicine, University of Dammam, Dammam, Kingdom of Saudi Arabia
2 Department of Internal Medicine & Critical Care, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia

Correspondence Address:
Wadiah A Alfilfil
Department of Emergency Medicine, College of Medicine, University of Dammam, Dammam
Kingdom of Saudi Arabia
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DOI: 10.4103/1658-631X.156437

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Tetanus is a toxin-mediated disease produced by the bacterium Clostridium tetani characterized by generalized rigidity and muscle spasms that may cause respiratory arrest and death. Tetanus typically gains access to the body through apparent or unapparent wounds. Implementation of mandatory vaccination programs has successfully decreased the prevalence of this disease worldwide. We report a case of severe, generalized tetanus in a male patient who presented to the emergency department with dysphagia and back stiffness with no clear history of any trauma, except small subungual hematoma found on physical examination. The patient was admitted to the Intensive Care Unit, received the full supportive therapy for tetanus, and discharged home in good condition.

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