Department of Pediatrics, Konya Education and Research Hospital, University of Health Sciences, Konya, Turkey.
J Trop Pediatr. 2021 Jan 29;67(1). doi: 10.1093/tropej/fmaa129.
Localized tetanus is a rare form of tetanus that can progress to generalized tetanus.
In this report, we present a case of localized tetanus in a 9-year-old boy who had never been vaccinated against tetanus. He had an interesting clinical presentation and was successfully treated.
This case is the first case reported in the literature that is characterized by tetanus localized in the chest, abdomen and back muscles. This clinical condition of tetanus being localized only in the trunk without the involvement of the head and extremities is so characteristic that it can be described as 'truncal tetanus'.
Localized tetanus can be found in many different parts of the body, depending on location of the injury. Owing to the risk of progression to generalized tetanus, it is important to obtain a full history and perform careful physical examination for an early and accurate diagnosis.
局部性破伤风是一种罕见的破伤风形式，可进展为全身性破伤风。
本报告介绍了一例从未接种过破伤风疫苗的 9 岁男孩发生局部性破伤风的病例。他的临床表现很有趣，治疗效果良好。
本例是文献中首次报道的以胸部、腹部和背部肌肉为特征的局限性破伤风病例。这种仅在躯干而不涉及头部和四肢的破伤风局限性临床情况非常特征，可以被描述为“躯干性破伤风”。
局部性破伤风可发生在身体的许多不同部位，具体取决于损伤部位。由于有进展为全身性破伤风的风险，因此获取完整的病史和进行仔细的体格检查对于早期准确诊断非常重要。
