A 25-year-old man presents with jaw discomfort and the inability to open his mouth fully for three days. About a week ago, he cut himself while preparing a chicken dinner but did not seek medical assistance. He has no history of serious illness or allergies and takes no medications. The patient says he had received his primary tetanus series in childhood, and his last booster was more than ten years ago. His blood pressure is 125/70 mm Hg, and temperature is 36.9 (98.5deg F). On physical examination, the patient cannot open his jaw wider than 2.5 cm (1 in). Head and neck examinations are otherwise unremarkable. There is a 5 cm (2 in) shallow linear laceration with some granulation tissue on the right index finger without necrosis, erythema, or pus. After wound care and initiation of metronidazole, which of the following is the best next step in managing this patient?A.Tdap aloneB.Td aloneC.No further treatment is requiredD.Tetanus immunoglobulin (TIG) and TdE.DTaP alone
[Expert Solution]: A 25-year-old man presents with jaw…
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