대한기관식도과학회지 (Korean Journal of Bronchoesophagology)

대한기관식도과학회 (The Korean Bronchoesophagological Society)
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초증상으로 연하장애를 호소한 두부형 파상풍 환자 1예

Cephalic Tetanus Presenting with Dysphagia as an Initial Symptom: A Case Report

  • 오경호 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 주영호 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 권도영 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 홍석진 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 권순영 (고려대학교 의과대학 이비인후-두경부외과학교실)
  • Oh, Kyoung-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
  • Ju, Young-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
  • Kwon, Do-Young (Department of Neurology, College of Medicine, Korea University) ;
  • Hong, Seok-Jin (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
  • Kwon, Soon-Young (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Korea University)
  • 투고 : 2010.12.01
  • 심사 : 2010.12.15
  • 발행 : 2010.12.30
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초록

Tetanus is a life-threatening infection that is rare in the developed country. Because of the rarity: of the disease, the clinician may be unfamiliar with the clinical presentation and unsuspecting of the diagnosis. However, tetanus can rapidly progress into lethal muscle spasms accompanied by respiratory insufficiency, and it has a mortality of 15 to 30%. The most common presenting symptom was trismus, followed by neck pain, dysphagia, generalized pain and facial muscle contractions. Dysphagia is a common symptom of tetanus, but not common as an initial symptom, the correct diagnosis and adequate therapy are likely to be delayed. Treatment involves administration of penicillin, tetanus immune-globulin, debridement of wounds, aggressive supportive care, and initiation of active immunization. We report an elderly woman presenting with dysphagia as an initial symptom of tetanus with review of literature.

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