Fischer G W, Sunakorn P, Duangman C
Am J Dis Child. 1977 Apr;131(4):445-6. doi: 10.1001/archpedi.1977.02120170071014.
Eight patients had bacteriologically confirmed otogenous tetanus and all survived, suggesting that this may be a less severe form of the disease. Clostridium organisms most probably secondarily infect the purulent ear discharge after contamination by dirty cloth or fingers. Since most cases of tetanus are seen first by pediatricians or family physicians, they should be familiar with this potential source. Adequate tetanus immunization predisposed to chronic otorrhea.
8例患者经细菌学确诊为耳源性破伤风,全部存活,提示这可能是该病的一种较轻形式。梭状芽孢杆菌很可能是在被脏布或手指污染后,继发感染脓性耳漏。由于大多数破伤风病例首先由儿科医生或家庭医生诊治,他们应熟悉这一潜在病因。充分的破伤风免疫接种易引发慢性耳漏。