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Dysphagia in tetanus: evaluation and outcome.

D L Lathrop, M Griebel, J Horner

    Dysphagia
    |January 1, 1989
    PubMed
    Summary

    Tetanus can cause severe swallowing difficulties (dysphagia). Videofluoroscopy is valuable for managing dysphagia in tetanus patients during acute and chronic stages.

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    Area of Science:

    • Neurology
    • Gastroenterology
    • Infectious Diseases

    Background:

    • Tetanus, a serious bacterial infection, can lead to severe muscle spasms and neurological complications.
    • Dysphagia is a recognized but less commonly emphasized symptom of tetanus.

    Observation:

    • A 72-year-old male patient with tetanus presented with severe dysphagia, trismus, risus sardonicus, and nuchal rigidity.
    • The patient's medical course involved repeated videofluoroscopic barium swallow examinations.

    Findings:

    • Videofluoroscopy effectively visualized the oropharyngeal and esophageal phases of swallowing in the patient.
    • The study highlights the utility of videofluoroscopy in assessing the severity and progression of dysphagia in tetanus.

    Implications:

    • Videofluoroscopy is a crucial tool for the diagnosis and management of dysphagia in tetanus patients.
    • This imaging technique aids in both acute and long-term care strategies for individuals with tetanus-induced swallowing dysfunction.

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