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Urol Case Rep. 2016 Jan 7;5:6-8. doi: 10.1016/j.eucr.2015.12.004. eCollection 2016 Mar.

Voiding Dysfunction Induced by Tetanus: A Case Report.

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1
Department of Urology, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Chuo, Yamanashi, Japan.

Abstract

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.

KEYWORDS:

Neurogenic bladder; Tetanus; Urodynamic study; Voiding dysfunction

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