Deepinder Maini Kaur, Nishant Tomar, Varun Rehani, Rajiv Anand
{"title":"A case of dystonic spasms in an adolescent: A neurologist’s enigma!","authors":"Deepinder Maini Kaur, Nishant Tomar, Varun Rehani, Rajiv Anand","doi":"10.32677/ijcr.v10i3.4380","DOIUrl":null,"url":null,"abstract":"A 15-year-old boy presented with episodic abnormal movements of the right upper limb, neck, and jaw for 10 days associated with pain and spasms, following a penetrating injury to his right hand 2 months ago. He was successfully managed for tetanus with antitoxin, antibiotics, wound debridement, and supportive care. He was found to have protective tetanus antibody levels (1.1 IU/mL). To encounter tetanus in a vaccinated individual with an atypical focal presentation is a cause for concern and requires awareness to avoid delay in diagnosis and management.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":"29 38","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32677/ijcr.v10i3.4380","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
A 15-year-old boy presented with episodic abnormal movements of the right upper limb, neck, and jaw for 10 days associated with pain and spasms, following a penetrating injury to his right hand 2 months ago. He was successfully managed for tetanus with antitoxin, antibiotics, wound debridement, and supportive care. He was found to have protective tetanus antibody levels (1.1 IU/mL). To encounter tetanus in a vaccinated individual with an atypical focal presentation is a cause for concern and requires awareness to avoid delay in diagnosis and management.