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A‐68‐year‐old male was admitted due to tetanus without apparent history of trauma. Trismus was observed on admission and was improved after treatment.

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An 80‐year‐old male with past history of cervical spinal cord injury visited our hospital owing to perforation in the digestive tract. Upon admission to the general ward, he presented with a sustained fever that was unresponsive to acetaminophen and antibiotics. Based on the dry skin and underlying disease, he was diagnosed with hyperthermia due to heat retention. After controlling the room temperature to cool his body and performing evaporative and convective cooling, his symptoms completely resolved. This case highlights that primary physicians should be aware of thermoregulatory dysfunction in patients with cervical spinal cord injury.