An unusual case of evolving localized tetanus despite prior immunization and protective antibody titer

Title

An unusual case of evolving localized tetanus despite prior immunization and protective antibody titer

Creator

Tharu B; Ibrahim S; Shah M; Basnet S; Park T

Publisher

Cureus

Date

2020
2020-07-31

Description

Centers for Disease Control and Prevention has reported that tetanus infection in a fully immunized person with the last dose within 10 years is extremely rare. The prevalence of localized tetanus in such a scenario is unknown. Only two case reports of localized tetanus in previously immunized patients have been reported so far, making this the third one. Also, this is the first case of its kind to demonstrate evolving localized tetanus. Our patient is a 19-year-old man who presented with shortness of breath, pain in right upper extremity, shoulder, and neck. His chest X-ray and creatine kinase were normal. The patient was sent home. He presented again to our hospital two days later with difficulty swallowing and speaking as well as chest tightness. Routine blood tests, electrocardiogram, CT angiography of the chest, and transthoracic echocardiogram were normal. He gave a history of a cut in the right middle finger while removing the carpet a week before his presentation. His immunization history was complete with documented last tetanus shot nine years and two months ago. He was treated with tetanus vaccine and penicillin. His tetanus antitoxoid titer came out protective.

Subject

vaccination; immunization; persistence; decennial booster; evolving tetanus; localized tetanus; protective antibody titer; tetanus titer

Identifier

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Pages

e9498

Issue

7

Volume

12

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine

Update Year & Number

August 2020 List

Affiliated Hospital

Mercy Health St Elizabeth Youngstown Hospital

Citation

Tharu B; Ibrahim S; Shah M; Basnet S; Park T, “An unusual case of evolving localized tetanus despite prior immunization and protective antibody titer,” NEOMED Bibliography Database, accessed January 19, 2021, https://neomed.omeka.net/items/show/11204.

Social Bookmarking