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Tetanus in a vaccinated soil expert - a case report
Olanrewaju Medu1,2, Nazlee Ogunyemi3,4, Maurice Hennink3
1Saskatchewan Health Authority, Population & Public Health, Regina, Canada. lanre.medu@saskhealthauthority.ca.
BMC Infectious Diseases
|November 5, 2023
Summary
Tetanus, a serious disease, can occur even in vaccinated individuals due to occupational exposure. Prompt diagnosis and management are crucial for recovery, emphasizing the importance of continued tetanus toxoid immunization.
Area of Science:
- Infectious Diseases
- Immunology
- Public Health
Background:
- Tetanus is a preventable bacterial infection, historically significant but now rare in Canada due to widespread tetanus toxoid immunization.
- Despite high vaccination rates, occupational exposure remains a potential risk factor for tetanus, particularly in certain climates and professions.
Observation:
- A case study of a vaccinated soil expert in Saskatchewan who developed tetanus following skin abrasions.
- The patient presented with an atypical clinical manifestation, possibly indicating reduced vaccine efficacy or attenuation.
Findings:
- Early diagnosis and comprehensive management, including intensive care, surgical intervention, and physical rehabilitation, were critical for the patient's recovery.
- Public health measures were implemented to manage the case and prevent further transmission.
Implications:
- This case underscores the persistent risk of occupational tetanus exposure, even in low-prevalence regions.
- Reinforces the critical role of tetanus toxoid vaccination as a primary public health strategy to prevent severe complications and fatalities.

