Voiding Dysfunction Induced by Tetanus: A Case Report

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• 作者：Satoru Kira ; ^{skira@yamanashi.ac.jp" class="auth_mail" title="E-mail the corresponding author} ; Norifumi Sawada ; Tadashi Aoki ; Hideki Kobayashi ; Masayuki Takeda
• 关键词：Neurogenic bladder ; Tetanus ; Urodynamic study ; Voiding dysfunction
• 刊名：Urology Case Reports
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：5
• 期：Complete
• 页码：6-8
• 全文大小：1394 K

文摘

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.