Tétanos Céphalique : A Propos d’un Cas Malagasy

Stéphanie Norotiana Andriamiharisoa, Herisitraka Raotoson, Rantonirina Andriamanantena, Rakotoarimanana FDS, Randria M, Razafindrabe JAB

Abstract


 [Cephalic Tetanus: A Malagasy Case Report]

A 30-year-old man presented with a lockjaw and dysphagia for two days. He mentioned a history of supraorbital wound, due to bicycle accident, eighteen days before his presentation to our hospital. His vaccination status was not known. Initial assessment showed palsies of right cranial nerves VII and III. At thirty six hours after his arrival, painful contractions of the extensor muscle of the neck and back occurred. The patient progressed to the systemic muscular rigidity. A diagnosis of CT evolving towards generalized form. We administered antibiotics, intravenous antitoxin, muscle relaxant and a single dose of tetanus toxoid. His follow up visit after 1 month found improvement of lockjaw and dysphagia. His facial nerve palsy required reeducation.

The diagnosis of CT is exclusively based on clinical findings. CT should be suspected in all cases who vaccination status is not updated or not known, presenting lockjaw with palsies of one or more cranial nerves. Early management improve the prognosis.


Keywords


Awareness, cephalic tetanus, facial nerve palsy, gravity, lockjaw

Full Text:

PDF

References


- Edlich RF, Hill LG, Mahler CA, et al. Management and prevention of tetanus. J Long Term Eff Med Implants 2003;13:139-54.

- Jagoda A, Riggio S, Burguieres T. “Cephalic tetanus: a case report and review of the literature,” American Journal of Emergency Medicine 1988; 6(2):128–130.

- Ajayi EA, Obimakinde OS. Cephalic tetanus following tooth extraction in a Nigerian woman. J Neurosci Rural Pract. 2011;2(2): 201-2.

- Antona D. Le tétanos en France en 2001-2003. Saint-Maurice : Institut de veille sanitaire, 2005:6.

- Fusetti S, Ghirottoand C, ferronato G. A case of cephalic tetanus in a developed country. Int. J. Immunopathol. Pharmacol 2013;26(1):273-7.

- Kwon JC, Park Y, Han ZA, Song JE, Park HS. Trismus in cephalic tetanus from a foot injury. Korean J Intern Med 2013;28:121.

- Krypciak S, Mézière A, Belmin J, Herbaud S, Paillaud E. Quelle prévention vaccinale et cardiovasculaire peut-on conseiller aux sujets âgés ? Presse Med 2013;42 :202-8.

- Guyennet E, Guyomard JL, Barnay E, et al. Cephalic Tetanus from Penetrating OrbitalWound. Case Reports in Medicine 2009;548343:3.

- Dong Hyuk Seo, Dae Kyung Cho, Hee Chung Kwon. A Case of Cephalic Tetanus with Unilateral Ptosis and Facial Palsy. Ann Rehabil Med 2012; 36:167-170.

- Kotani Y, Kubo K, Otsu S, Tsujimoto T. Cephalic tetanus as a differential diagnosis of facial nerve palsy. BMJ Case Rep 2017. doi:10.1136/bcr-2016-216440.

- Morales EDP, Pasarell JB, Rodriguez ZC, Mercado JCA, Navarro AF. Cephalic tetanus following penetrating eye trauma: a case report. Bol Asoc Med PR 2014;106(2):25-9.

- David NG, Moellering RC, Eliopoulos GM, et al. The Sanford Guide to Antimicrobial Therapy. Thirty-Eighth Edition, Northwestern University, Ed. Antimicrobial Therapy 2008:46-50.

- Abrahamian FM, Pollack CV, Vecchio F, et al. Fatal tetanus in a drug abuser with "protective" antitetanus antibodies. J Emerg Med 32000;18:18993.

- Beytout J, Delmont J, Marchou B, et al. Manuel de maladies infectieuses pour l’Afrique. Edition John libbey Eurotext , Paris, 2002:393-401.

- Faraz A, Ahmed NN, Liaqat A. Cephalic tetanus: a case report in 68 - year -old man. J Ayub Med Coll Abbottabad 2016;28( 4 ): 812–3.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Stéphanie Norotiana Andriamiharisoa

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.