Clinical case of tetanus in an injecting drug user

L.R. Schostakovych-Koretska, V.V. Mavrutenkov, G.O. Revenko, O.P. Schevchenko-Makarenko, O.G. Partoeva, V.V. Oliinyk


The article presents data on the incidence of tetanus in the Dnipropetrovsk region from 2014 to 2017. At the present time, taking into account the decrease of the immune layer of the population of our country, the clinical data of the course of tetanus in an injecting drug user have been considered, and the need for attention of both primary doctors and narrowly focused specialists regarding the risk of tetanus occurrence in unvaccinated persons has been discussed. Physicians should take tetanus into consideration in the differential diagnosis of meningitis, convulsive syndrome, etc., especially among injecting drug users who are at risk for this disease in all countries of the world, including Ukraine. The mistakes and ways of differential diagnosis in establishing the initial diagnosis of the patient are discussed. The need for vaccination against tetanus in the non-immune population is emphasized.


tetanus; clinical case; vaccination


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