Voiding Dysfunction Induced by Tetanus: A Case Report

被引：1

作者：

Kira, Satoru ^{[1
]}

Sawada, Norifumi ^{[1
]}

Aoki, Tadashi ^{[1
]}

Kobayashi, Hideki ^{[1
]}

Takeda, Masayuki ^{[1
]}

机构：

[1] Univ Yamanashi, Interdisciplinary Grad Sch Med & Engn, Dept Urol, Shimokato 1110,Chuo, Yamanashi 4093898, Japan

来源：

UROLOGY CASE REPORTS | 2016年 / 5卷

关键词：

Neurogenic bladder; Tetanus; Urodynamic study; Voiding dysfunction;

D O I：

10.1016/j.eucr.2015.12.004

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A 34-year-old man presented with sudden voiding dysfunction and lower limb paraplegia. As a central nervous system disorder was suspected, he was referred to the neurology department. Under the diagnosis of neurosarcoidosis, steroid pulse therapy was initiated. To ensure the effect of this therapy, the patient was referred back for urodynamic testing. Urodynamic testing indicated that the urethral sphincter was not relaxed and could not void. Due to the sudden appearance of repeated and refractory opisthotonus, tetanus was strongly suspected. After administration of antibiotics and tetanus immune globulin, those symptoms disappeared. (C) 2016 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/).

引用

页码：6 / 8

页数：3

共 5 条

[1] Tetanus: Pathophysiology, Treatment, and the Possibility of Using Botulinum Toxin against Tetanus-Induced Rigidity and Spasms [J].