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从危机到治愈:一名破伤风患者的顽强康复历程

From Crisis to Cure: The Resilient Recovery of a Patient With Tetanus.

作者信息

Raman Elangovan, Nallathambi Naveenkumar, Raghuthaman Gautham, Mm Sathyanarayanan, A Samuel Dinesh

机构信息

Internal Medicine, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, IND.

出版信息

Cureus. 2024 Dec 11;16(12):e75551. doi: 10.7759/cureus.75551. eCollection 2024 Dec.

Abstract

Tetanus is a severe neurological condition triggered by the toxin of , resulting in extreme muscle stiffness and spasms. Although vaccination can prevent it, without treatment, tetanus carries a high risk of death due to respiratory failure and autonomic disturbances. This case report describes a 24-year-old Indian male who developed tetanus after branding (a traditional procedure for jaundice in rural India) on his wrist. He presented with neck stiffness, hypertonia, and limb pain. Based on the presentation and poor immunization history, he was diagnosed with tetanus. He was managed with IV fluids, antibiotics, tetanus immunoglobulin, tetanus toxoid, and diazepam. This case underscores the importance of early recognition, proper wound care, and immunization for tetanus prevention.

摘要

破伤风是一种由破伤风杆菌毒素引发的严重神经系统疾病,会导致极度的肌肉僵硬和痉挛。尽管接种疫苗可预防破伤风,但如果不进行治疗,破伤风因呼吸衰竭和自主神经功能紊乱而导致死亡的风险很高。本病例报告描述了一名24岁的印度男性,他在手腕进行烙印(印度农村治疗黄疸的一种传统方法)后患上了破伤风。他表现为颈部僵硬、肌张力亢进和肢体疼痛。根据临床表现和免疫接种史不佳,他被诊断为破伤风。对他进行了静脉输液、抗生素、破伤风免疫球蛋白、破伤风类毒素和地西泮治疗。本病例强调了早期识别、正确伤口处理以及破伤风预防免疫接种的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f78e/11723283/0eccb7e94749/cureus-0016-00000075551-i01.jpg

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