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解析破伤风:一份描述其诊断与治疗的综合病例报告

Untangling Tetanus: A Comprehensive Case Report Describing Its Diagnosis and Treatment.

作者信息

Söğüt Özgür, Ergenc Hüseyin, Yigit Yavuz

机构信息

Emergency Medicine, Department of Emergency Medicine, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, TUR.

Emergency Medicine, Department of Emergency Medicine, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2023 Sep 5;15(9):e44702. doi: 10.7759/cureus.44702. eCollection 2023 Sep.

Abstract

Tetanus, caused by a grave and potentially lethal bacteria, is a medical condition that severely affects the central nervous system and demands vigilant attention and comprehensive preventive measures to safeguard public health. The onset of this condition is sudden and characterized by the emergence of intense tonic muscle spasms, underscoring its critical nature. In Türkiye, around 50 cases are officially reported each year; however, it is widely suspected that numerous cases remain unreported, contributing to an even more significant impact. This report aims to shed light on a remarkable case involving a 24-year-old male patient. Despite having a complete vaccination history, this individual contracted tetanus and required intensive care and mechanical ventilation due to the severity of his tetanus infection. This case serves as a poignant reminder of the importance of booster administration, highlighting the significance of continued and timely reinforcement of vaccinations.

摘要

破伤风由一种严重且可能致命的细菌引起,是一种严重影响中枢神经系统的病症,需要高度警惕并采取全面预防措施以保障公众健康。这种病症发病突然,其特征是出现强烈的强直性肌肉痉挛,凸显了其严重性。在土耳其,每年官方报告的病例约为50例;然而,人们普遍怀疑有许多病例未被报告,这导致了更严重的影响。本报告旨在揭示一例涉及一名24岁男性患者的显著病例。尽管该患者有完整的疫苗接种史,但他仍感染了破伤风,由于破伤风感染严重,需要重症监护和机械通气。这个病例深刻地提醒了加强免疫接种的重要性,突出了持续及时强化疫苗接种的意义。

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本文引用的文献

2
Tetanus.破伤风。
Lancet. 2019 Apr 20;393(10181):1657-1668. doi: 10.1016/S0140-6736(18)33131-3. Epub 2019 Mar 29.
4
An unexpected tetanus case.一例意外破伤风病例。
Lancet Infect Dis. 2016 Jun;16(6):746-752. doi: 10.1016/S1473-3099(16)00075-X.
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Maternal and neonatal tetanus.孕产妇和新生儿破伤风
Lancet. 2007 Dec 8;370(9603):1947-59. doi: 10.1016/S0140-6736(07)61261-6.
9
Tetanus immunization among geriatric hospitalized patients.老年住院患者的破伤风免疫接种
Eur J Clin Microbiol Infect Dis. 2005 Jul;24(7):495-6. doi: 10.1007/s10096-005-1353-3.

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