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Tetanus after application of traditional topical treatment to a severe burn

B G S Irie1, K V Asse1, N J Kadiane1

  • 1Service d'anesthésie-réanimation, CHU de Bouaké, BP 1174 Bouaké, Côte d'Ivoire.

Medecine Et Sante Tropicales
|August 11, 2018
PubMed

Insights

A severe burn complicated by tetanus in a 2-year-old child, resulting from traditional cassava leaf treatment, highlights the critical need for timely tetanus vaccination and appropriate medical care.

Area of Science:

  • Pediatric Emergency Medicine
  • Infectious Diseases
  • Wound Management

Background:

  • Severe thermal burns in children require prompt and effective medical intervention.
  • Traditional topical treatments, such as cassava leaves, may carry risks of infection.
  • Incomplete tetanus vaccination increases susceptibility to tetanus.

Observation:

  • A 2-year-old presented with refusal to eat, trismus, and contractures post-burn treatment with cassava leaves.
  • Clinical signs suggested tetanus, exacerbated by an outdated vaccination status.
  • The child had a fever, tachycardia, and hypotension upon arrival.

Findings:

  • The patient was diagnosed with tetanus following a severe thermal burn.
  • Treatment included antitetanus serum, antibiotics, and muscle relaxants.
  • Despite medical intervention, the child succumbed to the illness within 24 hours.

Implications:

  • This case underscores the danger of unverified traditional remedies on severe burns.
  • Highlights the critical importance of up-to-date tetanus immunization in pediatric burn care.
  • Emphasizes the need for rapid diagnosis and aggressive management of tetanus in children.

Keywords:
Ivory Coastsevere burntetanustraditional topic

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