A 40yr old construction worker while working was hit by a small flying stone which caused a penetrating wound in the arm


Question Number 1109
Question:
A 40yr old construction worker while working was hit by a small flying stone which caused a penetrating wound in the arm. There was little bleeding so the man removed the stone and ignored the wound. 10 days later the man presented with difficulty in opening his mouth. He had severe neck pain, stiffness and rigidity.Local throat examination was normal. The patient was afebrile. The most probable diagnosis is
a) Tetanus
b) Parapharyngeal abscess
c) Retropharyngeal abscess
d) Diphtheria
e) Rabies encephalitis


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