TY  - BOOK
AU  - Manuel, Rociel Preslyn, MD. 
TI  - Cephalic tetanus : : a rare form of localized tetanus a case report / 
AV  - MED20080008 
PY  - 2008///
CY  - Fairview, Quezon City
PB  - Department of Medicine, FEU-NRMF
N1  - Includes appendices and bibliographical references; RESDM
N2  - ABSTRACT: Tetanus is a neurologic disorder, characterized by increased muscle tone and spasms that is caused by tetanospasmin, a powerful prrotein toxin elaborated by Clostridium tetani.  Tetanus    occurs in several clinical forms, including generalized, cephalic, neonatal, and localized disease.                 This is a case of a 70 year old male, who manifested with stiffening of the jaw and facial asymmetry that was initially managed as a case of Facial Nerve Palsy.  Eleven days prior, the patient sustained a suppurative facial injury for which he had received anti-tetanus injection.  In the ward, he had frequent episodes of facial muscle spasms, jaw rigidity and difficulty of breathing with pooling of oral secretions.  An emergency tracheostomy tube insertion was done.  Anti-tetanus toxin, antibiotics as well as muscle relaxants were also given.  The patient gradually improved and was discharged still with tracheostomy tube. Complete recovery was noted on OPD follo-up
ER  -