A Survival Case of Tetanus Complicated with Disseminated Intravascular Coagulation Syndrome in the Elderly, Rescued by Mechanical Ventilation and Administration of Thiamylal

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  • TOMARI Shinya
    Department of Internal Medicine, Imari Municipal Hospital Department of Internal Medicine, Sasebo City General Hospital
  • MATSUSE Hiroto
    Second Department of Internal Medicine, Nagasaki University School of Medicine
  • OOTSUBO Takakazu
    Department of Internal Medicine, Imari Municipal Hospital Department of Internal Medicine, Oomura Municipal Hospital
  • MIYAZAKI Yoshitsugu
    Second Department of Internal Medicine, Nagasaki University School of Medicine
  • KOHNO Shigeru
    Second Department of Internal Medicine, Nagasaki University School of Medicine

Bibliographic Information

Other Title
  • 人工呼吸管理とチアミラール投与にて救命しえたDIC合併高齢者破傷風の1例
  • 臨床 人工呼吸管理とチアミラール投与にて救命しえたDIC合併高齢者破傷風の1例
  • リンショウ ジンコウ コキュウ カンリ ト チアミラール トウヨ ニテ キュウメイ シエタ DIC ガッペイ コウレイシャ ハショウフウ ノ 1レイ

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Abstract

A 78-year-old Japanese female was admitted to our hospital because of headache. Trismus, opisthotonus and convulsion appeared in the early morning on the second hospital day. She was diagnosed as tetanus based on these symptoms and the history of trauma on her left hand 6 days ago. A piece of bamboo was extracted from her left hand. However, Clostridium tetani was ot identified. Thiamylal and mechanical ventilation were initiated combined with Pancronium, Diazepam and tetanus immune globulin. Gabexate Mesilate was also added for disseminated intravascular coagulation syndrome probably associated with rhabdomyolysis. By these treatments, she was healed leaving only a disuse syndrome of her limbs.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 79 (1), 25-28, 2005

    The Japanese Association for Infectious Diseases

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