Tetanus differential diagnosis: Difference between revisions

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  | doi = 10.1542/pir.2014-0142
  | doi = 10.1542/pir.2014-0142
  | pmid = 28044038
  | pmid = 28044038
}}</ref><ref>{{Cite journal
| author = [[P. D. Thompson]], [[J. A. Obeso]], [[G. Delgado]], [[J. Gallego]] & [[C. D. Marsden]]
| title = Focal dystonia of the jaw and the differential diagnosis of unilateral jaw and masticatory spasm
| journal = [[Journal of neurology, neurosurgery, and psychiatry]]
| volume = 49
| issue = 6
| pages = 651–656
| year = 1986
| month = June
| pmid = 3734821
}}</ref>
}}</ref>


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*[[Stiff man syndrome]]
*[[Stiff man syndrome]]
*[[Strychnine poisoning]]
*[[Strychnine poisoning]]
===Differential for Unilateral Involuntary Face Movements===
The differential diagnosis for abnormal one sided movements of the face includes:<ref>{{Cite journal
| author = [[P. D. Thompson]], [[J. A. Obeso]], [[G. Delgado]], [[J. Gallego]] & [[C. D. Marsden]]
| title = Focal dystonia of the jaw and the differential diagnosis of unilateral jaw and masticatory spasm
| journal = [[Journal of neurology, neurosurgery, and psychiatry]]
| volume = 49
| issue = 6
| pages = 651–656
| year = 1986
| month = June
| pmid = 3734821
}}</ref>
*Tetanus associated [[trismus]]
*[[Temporomandibular joint]] ([[TMJ]]) dysfunction
*[[Tetany]]
*Unilateral jaw [[dystonia]]
*Exclusive facial myokymia
*Exclusive hemifacial spasm
*[[Multiple sclerosis]] ([[MS]]) associated tonic [[spasms]]
*Focal motor [[epilepsy]]
*Hemimasticatory spasm in the presence or absence hemiatrophy of the face


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Revision as of 13:51, 8 June 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Michael Maddaleni, B.S.; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Overview

Tetanus must be differentiated from strychnine poisoning, dental infections, drug reactions, hypocalcemia, meningitis, stroke and stiff man syndrome.[1]

Differentiating Tetanus from other Diseases

Some of the other diseases that need to be considered when trying to diagnose tetanus include:[2][3][4]

Differential for Unilateral Involuntary Face Movements

The differential diagnosis for abnormal one sided movements of the face includes:[5]


Differential Diagnosis of Tetanus
Disease Diagnosis Features Treatment
Symptoms Signs Laboratory Findings
Neuroleptic Malignant Syndrome
Meningitis
Stiff man syndrome
Drug reactions
Strychnine poisoning
Hypocalcaemia
Dental abscess
Parkinson's disease

References

  1. ↑ Anisha Doshi, Clare Warrell, Dima Dahdaleh & Dimitri Kullmann (2014). "Just a graze? Cephalic tetanus presenting as a stroke mimic". Practical neurology. 14 (1): 39–41. doi:10.1136/practneurol-2013-000541. PMID 24052566. Unknown parameter |month= ignored (help)
  2. ↑ E. Andreadou, E. Kattoulas, C. Sfagos & D. Vassilopoulos (2007). "Stiff person syndrome: avoiding misdiagnosis". Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology. 28 (1): 35–37. doi:10.1007/s10072-007-0745-9. PMID 17385093. Unknown parameter |month= ignored (help)
  3. ↑ Lisa Mitchell, William Adams & Francois Aspesberro (2017). "Case 6: Episodic Stiffness in a 30-month-old Girl". Pediatrics in review. 38 (1): 52–53. doi:10.1542/pir.2014-0142. PMID 28044038. Unknown parameter |month= ignored (help)
  4. ↑ P. D. Thompson, J. A. Obeso, G. Delgado, J. Gallego & C. D. Marsden (1986). "Focal dystonia of the jaw and the differential diagnosis of unilateral jaw and masticatory spasm". Journal of neurology, neurosurgery, and psychiatry. 49 (6): 651–656. PMID 3734821. Unknown parameter |month= ignored (help)
  5. ↑ P. D. Thompson, J. A. Obeso, G. Delgado, J. Gallego & C. D. Marsden (1986). "Focal dystonia of the jaw and the differential diagnosis of unilateral jaw and masticatory spasm". Journal of neurology, neurosurgery, and psychiatry. 49 (6): 651–656. PMID 3734821. Unknown parameter |month= ignored (help)

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