Goni Baba Waru, Gofama Mustapha M, Lawan Gana M, Haruna Yusuph, Bukar Bakki, Musa Kida I
Consultant Physician/Lecturer, University of Maiduguri, Department of Medicine, Nigeria.
Trop Doct. 2014 Jan;44(1):56-8. doi: 10.1177/0049475513512644. Epub 2013 Nov 18.
We report a case of a 7-year-old unimmunized child who presented with a 2 week history of nasal quality speech, hoarseness of the voice, regurgitation of feeds, and unstable gait. He had a previous history of fever, severe sore throat and bloody nasal discharge. A throat swab was negative for Corynebacterium diphtheria; however, he had received antibiotics at a primary care clinic prior to presentation. A clinical diagnosis of diphtheria with neurologic complication was made and the child was started on oral erythromycin, nasogastric tube feeding and daily physiotherapy, following which he improved. We did not prescribe diphtheria anti-toxin because of its unavailability.
我们报告一例7岁未接种疫苗的儿童，其出现鼻音、声音嘶哑、喂食反流和步态不稳2周。他既往有发热、严重咽痛和鼻出血病史。咽拭子白喉棒状杆菌检测为阴性；然而，他在就诊前曾在基层医疗诊所接受过抗生素治疗。临床诊断为白喉伴神经系统并发症，该儿童开始口服红霉素、鼻饲管喂养和每日物理治疗，之后病情有所改善。由于无法获得白喉抗毒素，我们未予开具。
