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脚趾方向异常:破伤风的一种罕见表现。

A toe that pointed the wrong way: An unusual presentation of tetanus.

作者信息

Chatterjee Krishnarpan, Ghosh Anirban, Sengupta Rimi Som

机构信息

Department of Medicine, ESI-PGIMSR and ESI Medical College, Joka, Kolkata, West Bengal, India.

出版信息

J Neurosci Rural Pract. 2016 Jan-Mar;7(1):150-2. doi: 10.4103/0976-3147.165354.

DOI:10.4103/0976-3147.165354
PMID:26933367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4750318/
Abstract

We report the case of a 15-year-old girl who was initially diagnosed to have a striatal toe. Her condition progressed and she later developed clinical features consistent with tetanus. History of blunt trauma to nose was elicited retrospectively. Antimicrobial therapy with metronidazole and both active and passive immunization was started immediately. The patient went on to make a complete recovery.

摘要

我们报告了一名15岁女孩的病例,她最初被诊断为纹状趾。病情进展,后来出现了与破伤风相符的临床特征。经回顾性询问,得知有鼻部钝器伤史。立即开始使用甲硝唑进行抗菌治疗,并进行主动和被动免疫。患者最终完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ed/4750318/734e79862854/JNRP-7-150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ed/4750318/91337388466b/JNRP-7-150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ed/4750318/734e79862854/JNRP-7-150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ed/4750318/91337388466b/JNRP-7-150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ed/4750318/734e79862854/JNRP-7-150-g002.jpg

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1
A toe that pointed the wrong way: An unusual presentation of tetanus.脚趾方向异常:破伤风的一种罕见表现。
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本文引用的文献

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[Experience of two cases of tetanus without a clear history of trauma].
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Tetanus Quick Stick as an applicable and cost-effective test in assessment of immunity status.破伤风快速棒作为一种适用且具有成本效益的免疫状态评估测试。
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Preventing tetanus, diphtheria, and pertussis among adults: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine recommendations of the Advisory Committee on Immunization Practices (ACIP) and recommendation of ACIP, supported by the Healthcare Infection Control Practices Advisory Committee (HICPAC), for use of Tdap among health-care personnel.预防成人破伤风、白喉和百日咳:免疫实践咨询委员会(ACIP)关于使用破伤风类毒素、吸附白喉类毒素和无细胞百日咳疫苗的建议,以及在医疗感染控制实践咨询委员会(HICPAC)支持下,ACIP关于医护人员使用破伤风类毒素、低剂量白喉类毒素和无细胞百日咳疫苗(Tdap)的建议。
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