Unusual generalized tetanus evolving from odontogenic infection: A case report and review of recent literature
Muhammad Akbar,
Muhammad Ruslin,
Andi Sitti Hajrah Yusuf,
Paolo Boffano,
Kei Tomihara,
Tymour Forouzanfar
Affiliations
Muhammad Akbar
Department of Neurology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia; Corresponding author.
Muhammad Ruslin
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
Andi Sitti Hajrah Yusuf
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
Paolo Boffano
Division of Dentistry, Vercelli Hospital, Vercelli, Italy
Kei Tomihara
Division of Oral Maxillofacial Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata City, Japan
Tymour Forouzanfar
Department of Oral and Maxillofacial Surgery, Oral Pathology and 3D Innovation Lab, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands
Tetanus is an acute and vaccine-preventable disease caused by anaerobic bacteria, Clostridium tetani. This bacterium can enter the human body via a deep wound, burn injury or medical procedure; however, certain cases also originate from odontogenic infection. In the present study, a tetanus infection associated with dental origin in a 44-year-old man is reported. The case was complicated by lockjaw and difficulty swallowing that worsened over a few days, followed by a generalized spasm. Furthermore, a literature review was performed, in which six reported cases of tetanus, presumed to be of dental or oral origin, were identified between 2011and 2021. General practitioners, especially dentists, should be aware of tetanus associated with odontogenic origin even without a history of an external penetrating wound or other medical procedures:.
