Stöhr M, Nerke O
MMW Munch Med Wochenschr. 1976 Jan 9;118(2):35-8.
Tetanus relapses are caused by reactivated tetanus spores which have remained in the region of the wound, and made possible by unsatisfactory immunisation during a tetanus infection. From previously communicated individual case reports, the frequency of relapse, the length of the interval and the type of course are grouped together and compared with a case of our own. Electromyography plays a decisive role in the differential diagnosis of clinically similar syndromes and hysterical reactions. The characteristic electrophysiological findings are presented from the example of our own patient. Finally the therapeutic consequences are pointed out.
破伤风复发是由残留在伤口部位的破伤风芽孢重新激活所致,且破伤风感染期间免疫接种不完善也可能导致复发。根据先前报道的个别病例,将复发频率、间隔时长及病程类型进行汇总,并与我们自己的一个病例作比较。肌电图在临床相似综合征和癔症反应的鉴别诊断中起决定性作用。以我们自己的患者为例展示了特征性的电生理检查结果。最后指出了治疗结果。