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Cephalic Tetanus: A Case Report In 68-Year-Old Man.
Ahmad Faraz1, Nida Nousheen Ahmed2, Aimen Liaqat2
1Karachi Medical and Dental College, Karachi, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|June 7, 2017
Summary
Cephalic tetanus, a rare emergency, typically affects children. This case highlights its occurrence in a 68-year-old man presenting with neurological deficits, emphasizing the need for broader diagnostic considerations.
Area of Science:
- Neurology
- Infectious Diseases
- Emergency Medicine
Background:
- Cephalic tetanus is a rare but severe form of tetanus affecting cranial nerves.
- It is often associated with head injuries and is commonly seen in pediatric populations.
- Prompt diagnosis and management are crucial due to potential complications.
Observation:
- A 68-year-old male presented with acute onset of right-sided weakness.
- Symptoms included difficulty with breathing and speech.
- A history of a fall was noted prior to symptom onset.
Findings:
- The patient was diagnosed with cephalic tetanus.
- This diagnosis in an elderly patient is unusual, challenging typical epidemiological profiles.
- Clinical presentation mimicked other neurological emergencies.
Implications:
- This case underscores the importance of considering cephalic tetanus in elderly patients presenting with neurological symptoms, even without a clear history of head trauma.
- It highlights the need for increased awareness among clinicians regarding the varied presentations of tetanus.
- Early recognition and intervention are vital for improving patient outcomes and preventing severe morbidity.
