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Published on: February 22, 2019
Unvaccinated child tetanus from nasal toy battery
Lukáš Homola1, Josef Klučka2, Jan Helešic1
1Department of Children's Infectious Diseases, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Insights
An unvaccinated child developed tetanus from a nose wound caused by a battery. Despite intensive care, the child experienced respiratory failure and required mechanical ventilation, highlighting the risks of vaccine refusal.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Tetanus is a preventable disease caused by Clostridium tetani bacteria.
- Vaccination is the primary method for preventing tetanus.
- Parental vaccine refusal can lead to preventable childhood diseases.
Observation:
- A case of tetanus in an unvaccinated Czech child is presented.
- The infection originated from a nasal wound caused by a small flat battery.
- The child presented with typical tetanus symptoms after a two-week incubation period.
Findings:
- The illness rapidly progressed to respiratory failure, necessitating mechanical ventilation.
- The child required intensive treatment and hospitalization for five weeks.
- Mild long-term sequelae were noted five months post-discharge.
Implications:
- This case underscores the critical importance of childhood immunization programs.
- It highlights the severe consequences of tetanus, even with intensive medical intervention.
- Public health initiatives should address parental vaccine hesitancy and its impact on child health.
Abstract:
We present the case report of an unvaccinated Czech child with tetanus. The child had not received any vaccines due to its parent's refusal. The disease originated from the wound in the nose caused by a small flat battery. The typical onset of tetanus followed after two weeks, rapidly progressing to respiratory failure with the need for mechanic ventilation despite intensive treatment. The child spent five weeks in the hospital. Mild long-term sequelae persisted 5 months.

