Mcelaney Patrick, Iyanaga Masayuki, Monks Stormy, Michelson Edward
Texas Tech University Health Sciences Center El Paso, Department of Emergency Medicine, El Paso, Texas.
Clin Pract Cases Emerg Med. 2019 Jan 22;3(1):55-58. doi: 10.5811/cpcem.2019.1.41301. eCollection 2019 Feb.
Tetanus is an increasingly rare diagnosis in the post-vaccination era, although it continues to have significant morbidity and mortality worldwide. In the United States (U.S.), the incidence of tetanus has declined dramatically due to the widespread use of the vaccine. High-risk populations for tetanus in the U.S. include the elderly, diabetics, injection drug users, and unvaccinated individuals. This is a report of a 78-year-old male with an incomplete immunization history who presented to an emergency department with jaw pain and who was ultimately diagnosed with tetanus. This report highlights the importance of prompt diagnosis, treatment, and prevention of tetanus.
在疫苗接种时代,破伤风的诊断越来越少见,尽管在全球范围内它仍具有显著的发病率和死亡率。在美国,由于疫苗的广泛使用,破伤风的发病率已大幅下降。美国破伤风的高危人群包括老年人、糖尿病患者、注射吸毒者和未接种疫苗者。本文报告了一名78岁男性,其免疫史不完整,因颌部疼痛就诊于急诊科,最终被诊断为破伤风。本报告强调了破伤风及时诊断、治疗和预防的重要性。