Department of Infectious Diseases, University College Galway, Newcastle, Galway, Ireland.
Ir J Med Sci. 2010 Mar;179(1):135-6. doi: 10.1007/s11845-009-0305-9. Epub 2009 Mar 4.
A 76-year-old previously well farmer presented having caught his left index finger in a gate. He gave no history of prior tetanus vaccination. The patient was treated in the emergency department; the wound cleaned, sutured and he was given tetanus toxoid prior to discharge. Eleven days later he represented unable to open his mouth. On examination he was noted to have trismus, generalised muscle spasms, diaphoresis and emotional lability and he was diagnosed with generalised tetanus.
一位 76 岁既往体健的农民主诉其左手食指被大门夹伤。他没有破伤风疫苗接种史。患者在急诊科接受治疗，伤口清洗、缝合，并在出院前注射了破伤风类毒素。11 天后，他无法张口就诊。检查时发现他有牙关紧闭、全身肌肉痉挛、出汗和情绪不稳定，诊断为全身性破伤风。
