Journal of Trauma and Injury

  • 제26권3호
  • /
  • Pages.214-217
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  • 2013
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

외상에 의한 직장파열로 발생한 파상풍

Tetanus Developing after a Traumatic Rectal Rupture - A Case Report -

  • 김진수 (인제대학교 해운대백병원 외과학교실) ;
  • 김기훈 (인제대학교 해운대백병원 외과학교실) ;
  • 박성진 (인제대학교 해운대백병원 외과학교실) ;
  • 남소현 (인제대학교 해운대백병원 외과학교실) ;
  • 김운원 (인제대학교 해운대백병원 외과학교실) ;
  • 김용한 (인제대학교 해운대백병원 마취통증의학교실)
  • Kim, Jin Soo (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Ki Hoon (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Park, Sung Jin (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Nam, So Hyun (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Woon-Won (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Yong Han (Department of Anesthesiology University of Inje College of Medicine, Haeundae Paik Hospital)
  • 투고 : 2013.02.22
  • 심사 : 2013.08.22
  • 발행 : 2013.09.30
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초록

Tetanus is a neurologic disorder caused by a tetanospasmin released from Clostridium tetani and usually occurs as a result of a dirty open wound or abrasion. Post traumatic tetanus is a life threatening disease and has a mortality rate of 15~39%. Because of a nationwide active immunization program, tetanus is a rare disease in Korea. Thus, many physicians have little experience with its diagnosis and management, and misdiagnosis and therapeutic delay may have catastrophic consequences. We report a case of tetanus that developed in a patient who had been diagnosed with a traumatic rectal rupture.

키워드

참고문헌

  1. Sanders RK. The management of tetanus 1996. Trop Doct 1996; 26: 107-1.
  2. Lee DH. Past, present and future of the national immunization program. Korean J Infect Dis 1995; 27: 213-9.
  3. Kim JO. A clinical survey of tetanus. J Korean Surg Soc 1975; 17: 45-50.
  4. Lee YH, Han DJ. A clinical analysis of tetanus. J Korean Surg Soc 1991; 40: 77-87.
  5. Abrutyn E. Tetanus. In Wilson JD, Braunwald E, Isselbacher KJ et al (eds): Harrison's principles of Internal medicine 13th ed. New York, NY, McGraw-Hill, 1994: 633-5.
  6. Wright DK, Lalloo UG, Nayiager S, Govender P. Autonomicnervous system dysfunction in severe tetanus: current perspectives. Crit Care Med 1989; 17: 371-5. https://doi.org/10.1097/00003246-198904000-00015
  7. Groleau G. Tetanus. Enviromental Emergencies 10: 351-60, 1992.
  8. Kim SK, Choi SC, Cho TH. A clinical analysis on tetanus. J Korean Surg Soc 1988; 34: 17-23.
  9. Weinstein L. Tetanus. N Engl J Med 289: 1293-6, 1973. https://doi.org/10.1056/NEJM197312132892408
  10. Sanford JP. Tetanus--forgotten but not gone. N Engl J Med 1995; 332: 812-3. https://doi.org/10.1056/NEJM199503233321209
  11. Bunch TJ, Thalji MK, Pellikka PA, Aksamit TR. Respiratory failure in tetanus: case report and review of a 25-year experience. Chest 2002; 122: 1488-92. https://doi.org/10.1378/chest.122.4.1488
  12. Bleck TP. Review. Pharmacology of tetanus. Clin Neuropharmacol 9: 103-20, 1986. https://doi.org/10.1097/00002826-198604000-00001
  13. Sternlo JE, Andersen LW. Early treatment of mild tetanus with dantrolene. Intensive Care Med 1990; 16: 345-6. https://doi.org/10.1007/BF01706370
  14. Farrar JJ, Yen LM, Cook T, Fairweather N, Binh N, ParryJ, et al. Tetanus. J Neurol Neurosurg Psychiatry 2000; 69(3): 292-301. https://doi.org/10.1136/jnnp.69.3.292