case_images: PMC10705509_01
case_images: Right-hand wound caused by canine bite (A and B).
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case_images: He had no history of trauma or drug use but had experienced canine bite injuries on his right hand 3 weeks prior (Figure 1A and B).
case_images: Patient's characteristics. The patient could not open his mouth (A), trismus, and spasmodic laughter at the time of admission (B), mouth opening after treatment when muscle spasms disappeared (C and D).
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case_images: PMC10705509_01_IDR-16-7427-g0002.jpg
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case_images: He could open his mouth to a maximum of 1.5 fingers width (Figure 2A), and there were no breathing difficulties. In addition, we found that the patient experienced laughter spasms (Figure 2B). The perioral, neck, and shoulder pain disappeared on hospitalization day 5, and the patient started opening his mouth 7 days after starting treatment (Figure 2C and D).
case_images: The clinical course of the present case. The map shows the place where a 46-year-old man with tetanus after a canine bite was treated in August to September 2023.
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case_images: The patient was discharged after a 12-day hospital stay (Figure 3).