Islami Zia, Ataee Nakhaei Mohammad Hosein
Department of Pediatrics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Iran J Child Neurol. 2013 Summer;7(3):55-7.
Neurological manifestations of neonatal disorders have various causes, among them neonatal tetanus, albeit rare, is a potentially fatal and preventable disease, which is seen in underdeveloped and developing countries. Although the disease has been eradicated from I.R. Iran, pregnant women immigrating to Iran from neighboring countries, especially from eastern border, may carry a risk of neonatal tetanus to the child due to inadequate tetanus immunization and inappropriate post-delivery care. It is then important to maintain a high index of suspicion for early diagnosis and prompt treatment, when infants present with poor feeding and abnormal behavior. Case presentation Here, we report the clinical course of a newborn with neonatal tetanus, who was admitted with complaints of poor feeding and muscle rigidity, more than a decade after eradication of the disorder.
新生儿疾病的神经学表现有多种病因，其中新生儿破伤风虽然罕见，但却是一种有潜在致命风险且可预防的疾病，在不发达国家和发展中国家较为常见。尽管伊朗伊斯兰共和国已根除了该疾病，但从邻国，尤其是从东部边境移民到伊朗的孕妇，由于破伤风免疫接种不足和产后护理不当，可能会使孩子面临新生儿破伤风的风险。因此，当婴儿出现喂养困难和行为异常时，保持高度的怀疑指数以进行早期诊断和及时治疗非常重要。病例报告在此，我们报告一例新生儿破伤风患儿的临床病程，该患儿在该病根除十多年后因喂养困难和肌肉僵硬入院。
