Résumé
No abstract available.
Sujets)
Sujet âgé , Humains , Mâle , Anti-infectieux/usage thérapeutique , Association de médicaments , Traumatismes du pied/complications , Myorelaxants à action centrale/usage thérapeutique , Tétanos/diagnostic , Anatoxine tétanique/usage thérapeutique , Résultat thérapeutique , Trismus/diagnostic , Plaies par arme blanche/complicationsRésumé
The initial presentation of myasthenia gravis as trismus is very rare and no previous reports have been found in the literature. A 35-year-old male presented to the outpatient unit of our department with inability to clench well and to open his mouth. Physical examination revealed that he had clinical findings consistent with the signs and symptoms of myasthenia gravis. He was immediately referred to a neurologist, who confirmed that he was in an advanced stage of myasthenia gravis with severe deficit to his respiratory muscles and he was promptly treated. He is presently on a maintenance drug therapy. To our knowledge, this is the first reported case of myasthenia gravis whose initial presentation was trismus. This case presents a rare but important diagnosis that should be added to the differential diagnosis of trismus.
Sujets)
Adulte , Blépharoptose/diagnostic , Diagnostic différentiel , Humains , Mâle , Mandibule/physiopathologie , Myasthénie/diagnostic , Amplitude articulaire/physiologie , Trismus/diagnosticRésumé
We report a case of 11 years old male who developed trismus associated with left infranuclear facial palsy following injury over forehead. Cephalic tetanus was diagnosed. Rarity of the case as well as mild course it ran, though the incubation period was less than seven days, is the reason for this case report.
Sujets)
Enfant , Nerfs crâniens/physiopathologie , Paralysie faciale/traitement médicamenteux , Humains , Mâle , Pénicillines/usage thérapeutique , Tétanos/diagnostic , Trismus/diagnosticSujets)
Humains , Femelle , Sujet âgé , Polyarthrite rhumatoïde/complications , Syndrome de Gougerot-Sjögren/complications , Tétanos/complications , Trismus/étiologie , Association de médicaments/usage thérapeutique , Traumatismes du pied/diagnostic , Tétanos/traitement médicamenteux , Trismus/diagnosticRésumé
Se reviso las historias clínicas de 76 pacientes con tétanos del adulto. Los factores asociados significativamente a los casos severos o muy severos fueron: una edad mayor o igual a 70 años, un periodo de incubación menor o igual a 7 dias, un tiempo de enfermedad menor igual a 4 dias y una puerta de entrada quirúrgica. se evaluo tres clasificaciones de pronóstico diferentes. Debido al tamaño pequeño de la muestra, los resultados de letalidad encontrados tienen intervalos de confianza muy amplios, lo que no permite detectar diferencias significativas en la letalidad entre las tres clasificaciones. Consideramos que la clasificación que toma en cuenta el tiempo de enfermedad y la presencia de espasmos, es la mas simple y facil de reproducir en el medio urbano y urbano-marginal