id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-7410	Marullo, Giulia; Bottani, Giulia Maria; Guerrieri, Rossella; Basile, Adriano; Aseni, Paolo; Bellone, Andrea	A case of lockjaw in the emergency department	2018	4	.pdf	application/pdf	2839	159	49	Moreover, post surgical tetanus develops quickly, usually within 24 hours.3,6 Perfectly mimicking tetanus, strychnine poisoning could be another possible causative agent of muscle spasms and trismus in the absence of alteration of mental status but this condition is char- acterized by an acute onset, a generalized spread of the spasms and a rapid, often fatal course of the disease if not treated.1 Clinical course During some hours of observation in the Emergency Department the patient remained symptomatic for painful contrac- tions of facial muscles and strong lockjaw. A dose of 500 UI Human Tetanus Immunoglobulin (HTIG) was given intramuscularly along with a single dose of tetanus vaccine with tetanus toxoid.	cache/ecj-7410.pdf	txt/ecj-7410.txt