Bronchial Visualization of Tetanic Contractions : A Case Report

BACKGROUND Tetanus is a potentially fatal infectious disease which, during its evolution, creates multiple complications, usually requiring intensive management and care. CASE REPORT We present a clinical case of a 59-year-old male patient with generalized tetanus admitted to the intensive care unit. Flexible bronchoscopy revealed contraction of the bronchial demonstrating that tetany existed at the respiratory level, which rarely becomes evident. The clinical manifestations included trismus, facial paralysis, neck stiffness, and compromised respiratory function. The patient presented a state of respiratory failure that required invasive mechanical ventilation which was evaluated by bronchoscopy and that showed spasms of the bronchial musculature. The patient presented generalized tetanus in which the bronchial affectation was evaluated by bronchoscopy in the intensive care unit. In developed countries, the anti-tetanus toxoid vaccine has ostensibly decreased its incidence, while it is endemic in developing countries, and although there are measures such as vaccination that try to reduce its incidence, in Ecuador there is an increase in incidences. In this patient case, contraction of the bronchial rings was observed, demonstrating that tetany existed at the respiratory level, which rarely becomes evident. CONCLUSIONS Although muscular contractions are widespread, this clinical case evidences bronchial spams reported and visualized by bronchoscopy.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

The American journal of case reports - 21(2020) vom: 01. Juni, Seite e923349

Sprache:

Englisch

Beteiligte Personen:

Briones-Claudett, Killen H [VerfasserIn]
Briones-Claudett, Mónica H [VerfasserIn]
Murillo Vasconez, Roger A [VerfasserIn]
Escudero-Requena, Andrea [VerfasserIn]
Briones Zamora, Killen H [VerfasserIn]
Briones Marquez, Diana C [VerfasserIn]
Benites Sólis, Jaime [VerfasserIn]
Grunauer Andrade, Michelle [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Case Reports
Journal Article
Tetanus Toxoid

Anmerkungen:

Date Completed 03.02.2021

Date Revised 03.02.2021

published: Electronic

Citation Status MEDLINE

doi:

10.12659/AJCR.923349

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM310564123