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[Tetanus. Apropos a case].

B Guillois, F Leclerc, M Chenaud

    Pediatrie
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    A 19-month-old infant experienced generalized tetanus despite BCG vaccination. Prompt treatment with serotherapy, muscle relaxants, and ventilation led to a favorable outcome, highlighting the importance of timely intervention for tetanus.

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    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Immunology

    Background:

    • Tetanus is a serious bacterial infection preventable by vaccination.
    • Infants may remain vulnerable even after partial vaccination schedules.

    Observation:

    • A 19-month-old infant, who had only received the Bacillus Calmette-Guérin (BCG) vaccine, presented with symptoms of generalized tetanus.
    • The infant experienced two laryngeal spasms over a four-day period preceding the onset of generalized tetanus.

    Findings:

    • The infant's tetanus infection was successfully treated with specific serotherapy, myorelaxants, and four weeks of assisted ventilation.
    • Despite incomplete primary tetanus immunization, a favorable outcome was achieved through comprehensive medical intervention.

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    Implications:

    • This case underscores the critical need for complete tetanus vaccination in infants.
    • Early recognition and aggressive management are crucial for favorable outcomes in pediatric tetanus cases.
    • BCG vaccination alone does not confer adequate protection against tetanus, emphasizing the necessity of tetanus toxoid-containing vaccines.