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  1. 30 医学部・医学研究科・附属病院
  2. 30d 学術雑誌論文
  3. 30d-02 学術雑誌論文(附属病院)

Difficult diagnosis of tetanus in a sedated patient after ileal resection

http://hdl.handle.net/10129/0002001842
http://hdl.handle.net/10129/0002001842
8456c020-c01a-4058-8e35-fb04113e5866
名前 / ファイル ライセンス アクション
s40981-025-00779-8.pdf s40981-025-00779-8.pdf (735 KB)
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アイテムタイプ リポジトリ登録用アイテムタイプ(シンプル)(1)
公開日 2025-10-29
タイトル
タイトル Difficult diagnosis of tetanus in a sedated patient after ileal resection
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Tetanus
キーワード
言語 en
主題Scheme Other
主題 Bacterial translocation
キーワード
言語 en
主題Scheme Other
主題 Muscle rigidity
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Noguchi, Satoko

× Noguchi, Satoko

en Noguchi, Satoko

ja 弘前大学附属病院集中治療部 助教

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Saito, Junichi

× Saito, Junichi

en Saito, Junichi

ja 医学研究科麻酔科学講座 教授

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Hashiba, Eiji

× Hashiba, Eiji

en Hashiba, Eiji

ja 弘前大学附属病院集中治療部 准教授

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抄録
内容記述タイプ Abstract
内容記述 Background
We report a case of tetanus developed after inguinal hernia repair without traumatic wounds, which was difficult to be diagnosed under sedation with mechanical ventilation for pneumonia and anaphylactic shock.

Case presentation
The 67-year-old Japanese male underwent inguinal hernia repair with ileal resection. On postoperative day (POD) 9, he was admitted to the ICU due to dyspnea and worsening oxygenation. Immediately after tazobactam piperacillin was administered as empiric treatment for aspiration pneumonia, anaphylaxis developed, requiring tracheal intubation and continuous intravenous adrenaline. On POD 10, sedative titration increased his extremities’ muscle rigidity; weaning from mechanical ventilation was difficult, while he could communicate. On POD 15, tetanus was diagnosed based on the physical examination findings prior to ICU admission.

Conclusion
Tetanus should be considered when patients show abnormal hypertension and no impaired consciousness during muscle rigidity, even in the absence of obvious trauma.
言語 en
内容記述
内容記述タイプ Other
内容記述 JA Clinical Reports volume 11, Article number: 16 (2025)
言語 en
書誌情報 en : JA Clinical Reports

巻 11, 号 1
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1186/s40981-025-00779-8
言語 en
ISSN
収録物識別子タイプ EISSN
収録物識別子 2363-9024
権利情報
権利情報 © The Author(s) 2025. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
言語 en
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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