{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T09:09:05Z","timestamp":1780304945085,"version":"3.54.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":151,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cephalic tetanus of otitic origin is a well\u2010documented clinical entity. It is characterized by trismus associated with damage to one or more cranial nerves. Although rare, this form poses a real diagnostic challenge because of its often atypical clinical picture, which justifies rapid and appropriate treatment to limit morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report the case of a 31\u2010year\u2010old patient, working as a welder and whose tetanus vaccination status was not up to date with recommended booster doses, who developed purulent otitis following auricular trauma caused by a metallic projectile, which was not treated. The course was marked by the appearance of cephalic tetanus, manifested by trismus associated with the involvement of the third cranial nerve (ptosis). Management includes the administration of antitetanus serum, a first dose of tetanus vaccine, and a prescription of metronidazole. The outcome was favorable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the importance of tetanus vaccination, which remains the cornerstone of prevention and underscores the need for increased community awareness and appropriate training for health professionals. Cephalic tetanus, a rare complication of auricular trauma, requires prompt management to prevent serious sequelae and ensure favorable outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crdi\/2576339","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T08:42:56Z","timestamp":1780303376000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cephalic Tetanus Following Auricular Metallic Trauma in an Adult: A Rare Clinical Case Presentation"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1973-3016","authenticated-orcid":false,"given":"Sonia","family":"Taleb","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6657-2170","authenticated-orcid":false,"given":"Amel","family":"Ouyahia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2327-3453","authenticated-orcid":false,"given":"Mounira","family":"Rais","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6806-1155","authenticated-orcid":false,"given":"Meriem","family":"Guechi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-154-5-201103010-00007"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/87.3.477"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1586\/14787210.6.3.327"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0736-4679(93)90634-j"},{"key":"e_1_2_13_5_2","unstructured":"Tetanus in Algeria 2020 https:\/\/www.worldlifeexpectancy.com\/algeria-tetanus."},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1977.02120170071014"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100091192"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100088356"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1294-5501(05)80163-3"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.emcmed.2003.10.004"},{"key":"e_1_2_13_11_2","article-title":"Mortality from Tetanus Between 1990 and 2015: Findings From the Global Burden of Disease Study 2015","volume":"17","author":"Kyu H. H.","year":"2017","journal-title":"BMC Public Health"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1198-743x.2004.00767.x"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100121735"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0399-077X(02)00006-9"},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.69.3.292"},{"key":"e_1_2_13_16_2","first-page":"1","article-title":"Prevention of Pertussis, Tetanus, and Diphtheria With Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"67","author":"Liang J. L.","year":"2018","journal-title":"Morbidity and Mortality Weekly Report Recommendations and Reports"},{"key":"e_1_2_13_17_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10071-23829"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crdi\/2576339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crdi\/2576339","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crdi\/2576339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T08:42:58Z","timestamp":1780303378000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crdi\/2576339"}},"subtitle":[],"editor":[{"given":"Priya","family":"Gusain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crdi\/2576339"],"URL":"https:\/\/doi.org\/10.1155\/crdi\/2576339","archive":["Portico"],"relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"value":"2090-6625","type":"print"},{"value":"2090-6633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"2576339"}}