一名免疫青少年的头部破伤风：一例罕见病例报告。

Cephalic Tetanus in an Immunized Teenager: An Unusual Case Report.

作者信息

Felter Robert A, Zinns Lauren E

机构信息

From the *Clinical Pediatrics, Georgetown University College of Medicine, †Emergency Medicine and Trauma Center, Children's National Medical Center, Washington, DC; ‡Clinical Pediatrics, Perelman School of Medicine at the University of Pennsylvania, §Division of Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.

出版信息

Pediatr Emerg Care. 2015 Jul;31(7):511-3. doi: 10.1097/PEC.0000000000000360.

DOI:10.1097/PEC.0000000000000360

PMID:25853723

Abstract

Tetanus is a rare disease in developed countries but is prevalent worldwide. It has significant morbidity and mortality. The causative agent Clostridium tetani is ubiquitous in nature. In the United States, approximately 50 to 100 cases are reported per year but rarely in immunocompetent, fully immunized patients. Of the four types of tetanus (generalized, neonatal, cephalic, and localized), cephalic is the least common. We present a case of cephalic tetanus in a 14-year-old boy who completed his primary immunizations with a video of his physical examination findings.

摘要

破伤风在发达国家是一种罕见疾病，但在全球范围内普遍存在。它具有显著的发病率和死亡率。致病因子破伤风梭菌在自然界中无处不在。在美国，每年报告约50至100例病例，但在免疫功能正常、全程免疫的患者中很少见。在四种类型的破伤风（全身性、新生儿、头部和局限性）中，头部破伤风最不常见。我们展示了一名14岁男孩头部破伤风的病例，并附上了他体格检查结果的视频，该男孩已完成基础免疫接种。