000			01787nam a22002537a 4500
999			_c8209 _d8209
003			MED20080008
005			20240720152620.0
008			160505b2008 xxu||||| |||| 00| 0 eng d
040			_cFEU-NRMF MEDICAL LIBRARY
041			_aEnglish
050			_aMED20080008
100			_aManuel, Rociel Preslyn, MD. _eauthor
245			_aCephalic tetanus : _ba rare form of localized tetanus a case report / _cRociel Preslyn Manuel.
260			_aFairview, Quezon City _bDepartment of Medicine, FEU-NRMF, _c2008
300			_billustrations; _c(in folder)
336			_atext _2rdacontent
337			_aunmediated _2rdamedia
338			_avolume _2rdacarrier
504			_aIncludes appendices and bibliographical references.
520			_aABSTRACT: 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.
521			_aRESDM
887			_aR00289
942			_2lcc _cRE