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Tetanus is rare and often forgotten in the diagnostic workup. The diagnosis is mainly based on typical clinical symptoms, because of missing sensitive paraclinical test. As described in our case, a missing bilateral blink reflex may occur in severe tetanus, which should not lead to the rejection of the diagnosis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5290501PMC
http://dx.doi.org/10.1002/ccr3.772DOI Listing

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