Iin Novita Nurhidayati Mahmuda, Doni Priambodo

DOI: https://doi.org/10.23917/biomedika.v7i2.1872


Woman, 68 years old came to hospital with chief complain trismus and dysphagia. She was in a good condition with physical examination and standard laboratory test reveal normal value. The neurologist found multiple parese of cranial nerve (V, VII, IX, X, XI). After further examination include electromedic test and head ct scan with contrast the neurologist did not find any abnormality that may explain her symptoms. The patient then consulted to the internist with suspect of local tetanus infection because of focal infection in her dental caries. The patient is then treated with antibiotics, convultion inhibitor agent, also given tetanus immunoglobulin. During the treatment, her symptoms improved. There were no other severe complication. Patient was returning home on the ninth day of hospitalisation and ready for her dentist appointment.
Keywords : Trismus, dysphagia, parese, tetanus, tetanus imunoglobulin

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Abrutyn E, 2004. Tetanus Dalam Wilson JD, Braunwald E. Isserbacher KJ, Peterdorf RG, Marthin JB, Fauci A.S. Root RK (ed) Harrison’s Principles of Internal Medicine, 16th 2d. McGraw-Hill, New York, pp 901-4.

Attygalle, 2000. Other Aspects of Tetanus. http:/www.geocities.com/tetanus_tetanus/general.htm.

Dire, D.J., 2005. Tetanus. http://www.emedicine.com/EMERG/topic 574.htm

Gautam, M.P., Adhikari, p., Koinka, S.R. 2009. A Case of Cephalic Tetanus Refer as Rabies-Case Report. Post Graduate Medical Journal of NAMS Volume 9 Number 2 pp 69-72. Nepal,

Hendarwanto, 2001. Tetanus. Dalam Soeparman (eds): Buku AjarIlmu Penyakit Dalam Jilid ed. 3. Pp 474-6.

Ismanoe, G. 2009. Tetanus dalam Buku Ajar Ilmu Penyakit Dalam Jilid III. Jakarta. Interna Publishing.

Sexton, D.J., and Westerman, E.L., 2005. Tetanus. UpToDate Vol. 13.1. www.uptodate.com.

Yanagi, F., Sawada, N., Nishi, M., Nakayam, R., Imamura, S., Higashi, K. 1996. Cephalic Tetanus in a Non-traumatic Patient with Left Facial Palsy. The Tokyo Journal of Medical Science Volume 125 pp 573-8. Tokyo

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