Tetanus, a disease that was believed to be overcomed: a case review

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DOI:

https://doi.org/10.37980/im.journal.rspp.20201590

Keywords:

generalized tetanus, immunization, autonomic instability, opisthotonos, trismus

Abstract

Abstract

Generalized tetanus is a highly fatal infectious disease without medical interventions and in our time, preventable by active immunization. The case of a 4-year-old preschooler is presented who suffers a sharp wound in the palm of the left hand and who presents 4 days later with generalized tetanus. He was intubated and admitted to intensive care unit at Dr. José Renán Esquivel Children's Hospital. His hospitalization was characterized by nosocomial pneumonia, an anfractuous lingual lesion and autonomic instability. In addition to antibiotic therapy with metronidazole and the application of tetanus immunoglobulin, hemodynamic support with dobutamine and norepinephrine was required. To achieve complete control of hypertonic crisis, management with infusion of midazolam, levetiracetam, clobazam, baclofen and botulinum toxin was offered.

Keywords: generalized tetanus, immunization, autonomic instability, opisthotonos, trismus.

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Published

2020-10-15

Issue

AÑO 2020 VOLUMEN 49 NÚMERO 1

Section

Case reports

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Copyright (c) 2020 Infomedic International

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