Paterson A W, Ryan W, Rao-Mudigonda V V
Cumberland Infirmary, Carlisle, UK.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Apr;101(4):437-41. doi: 10.1016/j.tripleo.2005.04.013. Epub 2005 Oct 26.
Tetanus is a life-threatening infection that is rare in the developed world. Trismus and dysphagia are the most common presenting symptoms, and thus oral and maxillofacial surgeons may be involved in the early stages of evaluation of the patient. Early diagnosis helps initiate prompt management and referral for intensive therapy. This article is a case report of severe generalized tetanus with a discussion of its diagnosis, pathophysiology, and management.
破伤风是一种危及生命的感染，在发达国家较为罕见。牙关紧闭和吞咽困难是最常见的首发症状，因此口腔颌面外科医生可能会参与患者早期评估阶段。早期诊断有助于启动及时的治疗和转诊至重症治疗。本文是一例严重全身性破伤风的病例报告，并讨论了其诊断、病理生理学和治疗。
