Hong Kong Journal of Emergency Medicine

Volume 11 Number 1, January 2004

An intravenous drug addict presenting with 'shortness of breath': case report

CH Chung

A 49-year-old male intravenous drug addict attended the emergency department complaining of 'shortness of breath' for one day. He was discharged after evaluation and referred to the methadone clinic. He re-attended the next day complaining of neck stiffness and twitching of limbs for one day. The final diagnosis was tetanus. Although tetanus is rare in Hong Kong, high vigilance should still be maintained for its atypical presentations, especially in high-risk groups. (Hong Kong j.emerg.med. 2004;11:60-64)

Keywords : Diagnosis, dyspnoea, emergencies, intravenous drug abuse, tetanus

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