IDCases (Jan 2018)

Tetanus – A Rare But Real Threat

  • David Moynan,
  • Ruth O’Riordan,
  • Roisin O’Connor,
  • Concepta Merry

Journal volume & issue
Vol. 12
pp. 16 – 17

Abstract

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Tetanus is a potentially fatal disease of the nervous system arising from toxins produced by Clostridium tetani, an anaerobic bacterium found in soil [1]. Characterized by muscular rigidity, spasms and autonomic dysregulation its identification and, importantly, its prevention remain critical to the welfare of at risk patients. We present the case of a twenty two year old woman who presented to hospital with trismus and generalized muscle spasms three days following a dog bite to the right hand. Here, we discuss the presentation of generalized tetanus and the use of neurophysiology to facilitate its diagnosis. Keywords: Tetanus, Neurophysiology, Vaccines, EMG, Dog bite