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Tetanus with local palsy.

K K Samal1, J R Lath, C S Sahu

  • 1Department of Medicine VSS Medical College, Orissa.

The Journal of the Association of Physicians of India
|November 1, 1990
PubMed
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This study reports five tetanus cases with localized paralysis, including cranial nerve and limb involvement. Most cases progressed to generalized tetanus, highlighting varied clinical presentations of this serious infection.

Area of Science:

  • Neurology
  • Infectious Diseases

Background:

  • Tetanus, a serious bacterial infection, can manifest with diverse neurological symptoms.
  • Localized paralysis is an atypical but documented presentation of tetanus.

Observation:

  • Five cases of tetanus presenting with localized neurological deficits were observed.
  • Presentations included palatal palsy, pseudohernia, lower limb paralysis, and isolated or combined cranial nerve palsies (3rd and 7th).

Findings:

  • All cases, except one, evolved into generalized tetanus.
  • The varied initial presentations underscore the spectrum of tetanus's neurological impact.

Implications:

  • Recognizing localized tetanus presentations is crucial for timely diagnosis and treatment.

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  • Understanding these varied clinical signs can improve patient outcomes and public health surveillance for tetanus.