One case of tetanus was reported during 2011. The case occurred in a 24-year-old white male with a history of receiving the primary series of DTaP (diphtheria and tetanus toxoids and acellular pertussis vaccine) on a delayed schedule; the patient had not received a booster for 12 years. There was no known injury or wound; however, the patient had significant dental caries and fractured teeth. A possible tooth infection or abscess was documented. He received tetanus immune globulin (TIG) between 7-23 hours after illness onset as well as a booster dose of Tdap (tetanus, diphtheria and acellular pertussis vaccine). The case left the medical facility against medical advice and further follow-up was unsuccessful.
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