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J Korean Soc Emerg Med > Volume 9(2); 1998 > Article
Journal of The Korean Society of Emergency Medicine 1998;9(2): 347-351.
A Case Report and Review of Tetanus
Dong Pil Kim, Hyo Yong Ahn, Myong Chun Kim, Hyung Seob Won, Young Gwan Ko
ABSTRACT
Tetanus is a rare disease in the developed countries, including Korea, as a result of nearly universal active immunization. Because many physicians have little experience with its diagnosis and management, misdiagnosis and therapeutic delay may result in catastrophic consequences. We report one case of generalized tetanus. A previously healthy 35-year-old man was admitted to the emergency department because of stiffness on jaw and neck. board-like abdomen, extended and rigid both legs, chest tightness, and dyspnea. Seven days before admission, he was injured on the right thing at work. In the emergency department, he was given 5,000 units of human tetanus immunoglobulin intramuscularly, as well as diazepam 2 mg/hr intravenously. On the second hospital day, tracheostomy was performed. Ten days later, his condition was improved. Twenty eight days after admission, he was discharged without any complication.
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