Related Experiment Videos
[Dysphagia as initial symptom in tetanus. A case report]
J Sieron1, C Köllner, H S Johannsen
1Phoniatrische Ambulanz der Universität Ulm.
Laryngo- Rhino- Otologie
|November 1, 1991
Summary
This case study highlights dysphagia as the sole early symptom of tetanus in a 69-year-old woman. Electromyography confirmed tetanus, an uncommon presentation without typical initial signs.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Dysphagia is a common symptom with diverse etiologies.
- Tetanus, a serious bacterial infection, typically presents with muscle rigidity and spasms.
Observation:
- A 69-year-old female presented with progressive dysphagia.
- Barium esophagogram revealed no obstruction but indicated tracheal aspiration, suggesting a neuromuscular disorder.
- Ear, nose, and throat examination showed no signs of infection.
Findings:
- Clinical diagnosis of tetanus was confirmed via electromyography.
- This case represents an atypical presentation of tetanus, lacking classical early-stage symptoms.
- Dysphagia was the initial and only presenting symptom.
Implications:
- Highlights the importance of considering neuromuscular disorders, including tetanus, in cases of unexplained dysphagia.
- Suggests that dysphagia can be the primary and solitary presenting symptom of tetanus.
- Emphasizes the diagnostic value of electromyography in atypical neurological presentations.