Considerations for tetanus infection in an adult with a protective tetanus antibody level

Toru Hifumi; Akihiko Yamamoto; Motohide Takahashi; Yuichi Koido; Kenya Kawakita; Yasuhiro Kuroda

doi:10.1016/j.ajem.2014.06.008

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Considerations for tetanus infection in an adult with a protective tetanus antibody level☆

Toru Hifumi, MD

Kagawa University Hospital, 1750-1 Ikenobe, Miki, Kita, Kagawa 761-0793, Japan

Akihiko Yamamoto, PhD

National Institute for Infectious Disease, 4-7-1 Gakuen, Musashimurayama, Tokyo 208-0011, Japan

Motohide Takahashi, PhD

Pharmaceuticals and Medical Devices Agency, 3-3-2 Kasumigaseki, Chiyodaku, Tokyo, 100-0013, Japan

Yuichi Koido, MD

National Hospital Organization Disaster Medical Center, 3256 Midori, Tachikawa, Tokyo 190-0014, Japan

Kenya Kawakita, MD

Yasuhiro Kuroda, MD

Kagawa University Hospital, 1750-1 Ikenobe, Miki, Kita, Kagawa 761-0793, Japan

DOI: http://dx.doi.org/10.1016/j.ajem.2014.06.008

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We read with interest the article titled “A case of tetanus infection in an adult with a protective tetanus antibody level” by Vollman et al [1]. The authors reported a mild case of tetanus infection despite a markedly higher protective antibody level (8.4 IU/mL). However, there are several serious concerns raised in the study.

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☆Conflict of interest: None declared.

Considerations for tetanus infection in an adult with a protective tetanus antibody level☆

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