Stimulus-induced Spasms in Pediatrics — 2yo Child | Pediatric Infectious | SMLE Q#17491

SMLE Question #17491

Pediatrics Pediatric Infectious

Objective: OBJ-IMM-TET-001

Last updated: February 2026
A 2-year-old girl is brought to the emergency department after stepping on a dirty metal rod while playing outdoors. She has never received any vaccinations because her parents declined them. Over the next 7 days, she develops painful generalized muscle spasms and intermittent convulsions. Examination shows trismus and opisthotonus with stimulus-induced spasms. Which vaccine should be administered now?

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