Generalized tetanus in a landscaper without obvious wounds
Tetanus is rare and potentially fatal infection in the US. Its incidence has declined dramatically over the years in developed countries due to robust immunization programs. We describe a case of generalized tetanus in a 66-year-old inadequately vaccinated landscaper who presented with classical sym...
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Published in | IDCases Vol. 22; p. e01005 |
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Format | Journal Article |
Language | English |
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Elsevier Ltd
01.01.2020
Elsevier |
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Abstract | Tetanus is rare and potentially fatal infection in the US. Its incidence has declined dramatically over the years in developed countries due to robust immunization programs. We describe a case of generalized tetanus in a 66-year-old inadequately vaccinated landscaper who presented with classical symptoms but did not have any open wounds leading to delay in initial diagnosis but was successfully managed once the diagnosis was established. |
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AbstractList | Tetanus is rare and potentially fatal infection in the US. Its incidence has declined dramatically over the years in developed countries due to robust immunization programs. We describe a case of generalized tetanus in a 66-year-old inadequately vaccinated landscaper who presented with classical symptoms but did not have any open wounds leading to delay in initial diagnosis but was successfully managed once the diagnosis was established.Tetanus is rare and potentially fatal infection in the US. Its incidence has declined dramatically over the years in developed countries due to robust immunization programs. We describe a case of generalized tetanus in a 66-year-old inadequately vaccinated landscaper who presented with classical symptoms but did not have any open wounds leading to delay in initial diagnosis but was successfully managed once the diagnosis was established. Tetanus is rare and potentially fatal infection in the US. Its incidence has declined dramatically over the years in developed countries due to robust immunization programs. We describe a case of generalized tetanus in a 66-year-old inadequately vaccinated landscaper who presented with classical symptoms but did not have any open wounds leading to delay in initial diagnosis but was successfully managed once the diagnosis was established. |
ArticleNumber | e01005 |
Author | Sivasubramanian, Geetha |
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References | Rodrigo, Fernando, Rajapakse (bib0015) 2014; 18 Redfield, Kent, Leahy, Martinroe, Spriggs, Yang (bib0010) 2018; 67 Seegoolam, Kamarul Bahrin, Ling, Palejwala (bib0020) 2020; 12 Srigley, Haider, Johnstone (bib0040) 2011; 183 Baviskar, Ahuja, Natarajan, Bagchi (bib0035) 2020 Fan, Zhao, Wang, Zhang, Zhuang (bib0030) 2019; 12 Yen, Thwaites (bib0005) 2019; 393 Cook, Protheroe, Handel (bib0045) 2001; 87 Lalli, Bohnert, Deinhardt, Verastegui, Schiavo (bib0025) 2003; 11 Rodrigo (10.1016/j.idcr.2020.e01005_bib0015) 2014; 18 Baviskar (10.1016/j.idcr.2020.e01005_bib0035) 2020 Srigley (10.1016/j.idcr.2020.e01005_bib0040) 2011; 183 Cook (10.1016/j.idcr.2020.e01005_bib0045) 2001; 87 Yen (10.1016/j.idcr.2020.e01005_bib0005) 2019; 393 Seegoolam (10.1016/j.idcr.2020.e01005_bib0020) 2020; 12 Lalli (10.1016/j.idcr.2020.e01005_bib0025) 2003; 11 Redfield (10.1016/j.idcr.2020.e01005_bib0010) 2018; 67 Fan (10.1016/j.idcr.2020.e01005_bib0030) 2019; 12 |
References_xml | – volume: 11 start-page: 431 year: 2003 end-page: 437 ident: bib0025 article-title: The journey of tetanus and botulinum neurotoxins in neurons publication-title: Trends Microbiol – year: 2020 ident: bib0035 article-title: Tetanus of suspected dental causality publication-title: J Stomatol Oral Maxillofac Surg – volume: 18 start-page: 1 year: 2014 end-page: 10 ident: bib0015 article-title: Pharmacological management of tetanus: an evidence-based review publication-title: Crit Care – volume: 67 start-page: 31 year: 2018 ident: bib0010 article-title: Prevention of pertussis, tetanus, and diphtheria with vaccines in the United States: recommendations of the Advisory Committee on Immunization Practices (ACIP) morbidity and mortality weekly report recommendations and reports centers for disease control a publication-title: Recomm Rep – volume: 87 start-page: 477 year: 2001 end-page: 487 ident: bib0045 article-title: Tetanus: a review of the literature publication-title: Br J Anaesth – volume: 393 start-page: 1657 year: 2019 end-page: 1668 ident: bib0005 article-title: Tetanus publication-title: Lancet – volume: 12 start-page: 1289 year: 2019 end-page: 1293 ident: bib0030 article-title: Clinical features and outcomes of tetanus: a retrospective study publication-title: Infect Drug Resist – volume: 12 start-page: 8 year: 2020 end-page: 13 ident: bib0020 article-title: The life-threatening risk of a dirty wound: a lesson from the past publication-title: Cureus – volume: 183 start-page: 1045 year: 2011 end-page: 1048 ident: bib0040 article-title: A lethal case of generalized tetanus publication-title: CMAJ – volume: 18 start-page: 1 year: 2014 ident: 10.1016/j.idcr.2020.e01005_bib0015 article-title: Pharmacological management of tetanus: an evidence-based review publication-title: Crit Care doi: 10.1186/cc13797 – volume: 12 start-page: 8 year: 2020 ident: 10.1016/j.idcr.2020.e01005_bib0020 article-title: The life-threatening risk of a dirty wound: a lesson from the past publication-title: Cureus – volume: 11 start-page: 431 year: 2003 ident: 10.1016/j.idcr.2020.e01005_bib0025 article-title: The journey of tetanus and botulinum neurotoxins in neurons publication-title: Trends Microbiol doi: 10.1016/S0966-842X(03)00210-5 – volume: 12 start-page: 1289 year: 2019 ident: 10.1016/j.idcr.2020.e01005_bib0030 article-title: Clinical features and outcomes of tetanus: a retrospective study publication-title: Infect Drug Resist doi: 10.2147/IDR.S204650 – volume: 393 start-page: 1657 year: 2019 ident: 10.1016/j.idcr.2020.e01005_bib0005 article-title: Tetanus publication-title: Lancet doi: 10.1016/S0140-6736(18)33131-3 – volume: 67 start-page: 31 year: 2018 ident: 10.1016/j.idcr.2020.e01005_bib0010 article-title: Prevention of pertussis, tetanus, and diphtheria with vaccines in the United States: recommendations of the Advisory Committee on Immunization Practices (ACIP) morbidity and mortality weekly report recommendations and reports centers for disease control a publication-title: Recomm Rep – year: 2020 ident: 10.1016/j.idcr.2020.e01005_bib0035 article-title: Tetanus of suspected dental causality publication-title: J Stomatol Oral Maxillofac Surg doi: 10.1016/j.jormas.2020.05.004 – volume: 183 start-page: 1045 year: 2011 ident: 10.1016/j.idcr.2020.e01005_bib0040 article-title: A lethal case of generalized tetanus publication-title: CMAJ doi: 10.1503/cmaj.101121 – volume: 87 start-page: 477 year: 2001 ident: 10.1016/j.idcr.2020.e01005_bib0045 article-title: Tetanus: a review of the literature publication-title: Br J Anaesth doi: 10.1093/bja/87.3.477 |
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Title | Generalized tetanus in a landscaper without obvious wounds |
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