First case of iliopsoas hematoma as a complication of tetanu
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Tetanus, a disease that has killed many people since ancient times is caused by tetanospasmin, a toxin produced by Clostridium tetani, which is widely distributed in soil and the human intestines. On the other hand, the neurological prognosis is relatively good. The specific clinical feature of tetanus is whole body muscle spasms (e.g., lock jaw and opisthotonus); these spasms are intensely painful and sometime lead to bone fracture.

Vertebral fractures have been reported as a common complication of tetanus, however iliopsoas hematoma is a rare complication. We describe a case of iliopsoas hematoma in a tetanus patient who had not been treated with any anticoagulant or antiplatelet agents.

A 72-year-old female patient was transferred to our hospital 7?days after the onset of tetanus. An iliopsoas hematoma was identified in her right iliopsoas muscle on computed tomography. There was no extravasation; thus, the hematoma improved with conservative therapy. There were no episodes that suggested a bleeding tendency, or no factors associated with hemorrhagic conditions.

This is the first report of iliopsoas hematoma as a complication in a tetanus patient who did not received anticoagulation therapy. The possibility of IPH as a complication of tetanus should be considered before and during the administration of anticoagulation therapy.

Source: https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-020-05455-z
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