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- Nov 30, '12 by suga_junkieQuote from Esme12A bit OT, but on my first ever hospital placement as a student, I also cared for a patient with tetanus. He spent a week in ICU and was then transferred to the ward. Initially he was bedridden, catheterised, NG tube fed etc. They expected to treat him for a few weeks then transfer him to a rehab facility. However, less than 3 weeks later, he walked out of the hospital and went home. It was pretty amazing. I always tell people not to forget their tetanus boosters though!
I had a patient with Tetnas once.....funny enough the American trained MD's were baffled.....a doctor from India walking through the ICU made comment the the patient was opisthotonic....this patient was doing this bizarre arch posturing thing......I was like "What did you say?" he went on to explain about Tetnas and how much he sees it in India....unfortunately it was fatal for this patient. I will never for get it.
- Nov 30, '12 by GrnTeaTetanus can give you stridor too.
- Nov 30, '12 by Esme12Tetnas isn't viral....but that is my second differential
- Nov 30, '12 by BostonFNPEverything described depicts the clinical progression of rabies, so I would feel
comfortable with that at the tip of the differential.
Late rabies is characterized by episodic laryngeal and diaphragmatic spams secondary to hypersensitivity in the bronchioles.Last edit by BostonFNP on Nov 30, '12
- Dec 1, '12 by GrnTeaWell, thank god I haven't seen much rabies in my practice.