ArticleIDCases2026
Uncommon intraoral source of generalized tetanus: Case report and review of intensive care strategies.
Article in IDCases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
2 authors.
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Abstract
Introduction: Tetanus is an acute disease caused by the tetanospasmin toxin produced by Case presentation: A 54-year-old male developed generalized tetanus after manipulating a tooth with a toothpick, causing bleeding. Initial dental pain and oral numbness progressed to trismus, opisthotonus, and risus sardonicus. He was admitted to the intensive care unit (ICU) of a tertiary referral hospital in Indonesia for 19 days and received spasm control (diazepam, midazolam, rocuronium, magnesium sulfate), bacterial eradication (metronidazole, procaine penicillin), stepwise mechanical ventilation, and both enteral and parenteral nutritional support. Complications included ventilator-associated pneumonia, candiduria, hypokalemia, hypocalcemia, and hypoalbuminemia, all managed through a multidisciplinary approach. At the end of treatment, the patient demonstrated a favorable clinical outcome despite a complex disease course accompanied by multiple complications. Conclusion: Despite a prolonged and complex clinical course, the patient favorable outcome. This case highlights that intraoral wounds, though uncommon, may serve as clinically relevant source of tetanus infection due to the anaerobic and necrotic environment that facilitates
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