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Results for “Tetanus--complications”

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Apparent traumatic perforation of the bowel in tetanus. A case report.

A case of severe tetanus complicated by intestinal perforation is described. Because of the nature of the treatment in tetanus, the diagnosis was missed for several weeks and the patient's life consequently put at great risk. The possibility that the perforation may have resulted from extreme intra-abdominal pressure changes during spasms is discussed as well as the difficulties of managing such complications in an intensive care unit.

Adult↗

Severe tetanus--in spite of tetanus toxoid.

A 66-year-old man sustained an injury to his right foot while gardening. Despite receiving tetanus toxoid one hour later and adequate wound toilet, he developed severe tetanus complicated with autonomic dysfunction six days later. He died 20 days after admission. This case shows that tetanus toxoid alone may not be sufficient to prevent tetanus in wounded patients. Careful consideration must be given to the immune status of the patient and to the nature of the wound sustained. Incompletely immunised patients or patients with unknown immune status who sustain a tetanus prone wound should be protected with both tetanus toxoid and tetanus immunoglobulin.

Aged↗