Akane Yusuke, Tsugawa Takeshi, Hori Tsukasa, Togashi Atsuo, Yoto Yuko, Inazawa Natsuko, Ito Nozomi, Kyan Ryoko, Senoh Mitsutoshi, Kato Haru, Tsutsumi Hiroyuki
Department of Pediatrics, Sapporo Medical University School of Medicine, Sapporo, Japan.
Department of Pediatrics, Sapporo Medical University School of Medicine, Sapporo, Japan.
J Infect Chemother. 2018 Dec;24(12):980-982. doi: 10.1016/j.jiac.2018.05.002. Epub 2018 Jun 1.
A 13-year-old boy developed tetanus, although he had protective antitoxin antibody raised by three doses of tetanus toxoid vaccine. Four days after injury, he presented with muscle rigidity of his posterior neck, excessive diaphoresis, and risus sardonicus and was subsequently diagnosed with tetanus. Tetanus is rare in developed countries, particularly during childhood, but must be promptly diagnosed based on clinical symptoms.
一名13岁男孩患上了破伤风，尽管他通过接种三剂破伤风类毒素疫苗产生了具有保护作用的抗毒素抗体。受伤四天后，他出现了后颈部肌肉僵硬、多汗和苦笑面容，随后被诊断为破伤风。破伤风在发达国家较为罕见，尤其是在儿童时期，但必须根据临床症状及时诊断。
