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2004, Number 5

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Med Crit 2004; 18 (5)

Tetanus, experience of ten years in an intensive care unit of a general hospital

Duarte MJ, González VA, Díaz MS, Rubio GJ

Language: Spanish
References: 18
Page: 160-165
PDF size: 81.20 Kb.


ABSTRACT

Objective: To report the experience on tetanus of a general hospital. Design: Case report. Setting: ICU of a general hospital; Toluca, State of Mexico, Mexico. Patients: Three patients with tetanus admitted to the ICU. Interventions: Mechanical ventilation support with sedation/ neuromuscular blocking and antibiotic therapy. Results: The first two patients died and the last was discharged with minimal neurological and psychiatric complications. Conclusion: Tetanus is a rare disease but it has a high rate of mortality in our state.


REFERENCES

  1. McQuillan GM, Kruszon-Moran D, Deforest A et al. Serologic immunity to diphteria and tetanus in the United States. Ann Intern Med 2002;136:660-6.

  2. Edlich RE, Hill LG, Mahler CA, Cox MJ, Becker DG, Horowitz JH, Nichter LS, Martin ML, Lineweaver WC. Management and prevention of tetanus. Long Term Eff Med Implants 2003;13(3):139-54.

  3. Hüllstrung HD - Tetanus immunization in geriatric patients with accidental wounds: how much is needed? Swiss Med Wkly 2003;133(15-16):227-32.

  4. Pascual FB. MMWR Tetanus surveillance-United States, 1998-2000 Surveill Summ 2003;52(3):1-8.

  5. Roper MH. Tetanus prophylaxis in the emergency department. Ann Emerg Med 2004;43(3):315.

  6. Bleck TP. Clostridium tetanii (tetanus). In: Mandell. Editors. Principles and practice of Infectious Diseases. 5th edition, Livingstone, Inc. 2000:2537-2542.

  7. Trujillo MJ, Castillo A, Espana JV, Guevara P, Eganez H. Tetanus in the adult: intensive care and management experience with 233 cases. Crit Care Med 1980;8:419-423.

  8. Bunch TJ, Thalji MK, Pelikka PA, Aksamit TR. Respiratory failure in tetanus. Case report and review of a 25 year experience. Chest 2002;122(4):1488-1492.

  9. Ceneviva GD, Neal JT, Kees-Folts D. Magnesium sulfate for control of muscle rigidity and spasm and avoidance of mechanical ventilation in pediatric tetanus. Pediatr Crit Care Med 2003;4(4):480-4.

  10. Edmondson RS, Flowers MW. Intensive care in tetanus: Management, complications and mortality in 100 cases. BMJ 1979;1:1401-1404.

  11. Smith BA. Strychnine poisoning. J Emerg Med 1990;8:321-325. [Erratum, J Emerg Med 1991;9:555].

  12. Souza Matos DC-Immunogenicity test of tetanus component in adsorbed vaccines by toxin binding inhibition test Mem Inst Oswaldo Cruz 2002;97(6):909-13.

  13. Kruger S, Muller M, Kirchner H, Kreft B. A 5 year follow up on antibody response after diphteria and tetanus vaccination in hemodialysis patients. Am J Kidney Dis 2001;38(6):1264-70.

  14. Farrar JJ, Yen LK, Cook T et al. Tetanus. J Neurol Neurosurg Psychiatry 2000;69:292-301.

  15. Attygalle D, Rodrigo N. Magnesium as first line therapy in the management of tetanus: A prospective study of 40 patients. Anaesthesia 2002;57:778-817.

  16. Rie MA, Wilson RS. Morphine therapy controls autonomic hyperactivity in tetanus. Ann Intern Med 1978;88:653-654.

  17. Muller H, Borner U, Zierski J et al. Intrathecal baclofen in tetanus. Lancet 1986;1:317-318.

  18. Sternlo JE, Andersen LW. Early treatment of mild tetanus with dantrolene. Intensive Care Med 1990;16:345-346.




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