title: A Man With Intractable Convulsion.
abstract: Tetanus is a rare disease in the United States. Fewer than 40 cases are reported annually because of the high incidence of vaccination. Recognition of the clinical presentations is important because laboratory recovery of pathogen is only 30%, and toxin detection is rare because of consumption at motor neurons. We report a case of tetanus in an elderly man who had a reaction to tetanus vaccination as a child and was nonvaccinated through adult life.
authors.affiliation: Department of Medical Education and Research, St Elizabeth Health Center, Youngstown; †Department of Medicine, Northeast Ohio Medical University, Rootstown; and ‡ College of Osteopathic Medicine, Ohio University Heritage, Athens, OH.
authors.forename: Yun
authors.initials: Y
authors.lastname: Xia
authors.affiliation: Department of Medical Education and Research, St Elizabeth Health Center, Youngstown; †Department of Medicine, Northeast Ohio Medical University, Rootstown; and ‡ College of Osteopathic Medicine, Ohio University Heritage, Athens, OH.
authors.forename: Anthony
authors.initials: A
authors.lastname: Cutrona
authors.affiliation: Department of Medical Education and Research, St Elizabeth Health Center, Youngstown; †Department of Medicine, Northeast Ohio Medical University, Rootstown; and ‡ College of Osteopathic Medicine, Ohio University Heritage, Athens, OH.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Barreiro
keywords: convulsion; muscle contraction; muscle spasm; tetanus; trismus