[Did we forget tetanus?].

Abstract:

INTRODUCTION:Currently, in our country (Republic of Serbia) tetanus is a rarely occurring disease, mainly affecting people older than 65 years of age. A small number of reported cases is mainly due to appropriate immunization. Therefore, each case of tetanus may be considered as failure of health care system to provide adequate immunization. CASE OUTLINE:A 71-year-old woman was injured in her garden. She sustained laceration in the left coccygeal region. The next day the wound was treated by a surgeon, but tetanus postexposure prophylaxis was not administrated. On the fifth day following the incident, the symptoms and signs of tetanus became apparent, and the patient died two days later. Postmortem examination revealed the wound that was not adequately treated, since there was a foreign body and a dressing inserted in the wound. Signs of acute (aerobic) infection were also present. CONCLUSION:Tetanus is a severe, potentially lethal disease that is absolutely preventable. Mistakes in immunization and surgical treatment of the wound can be considered as medical malpractice.

journal_name

Srp Arh Celok Lek

authors

Alempijević D,Baralić I,Kiurski M,Jecmenica D,Pavlekić S,Zivković V,Savić S

doi

10.2298/sarh0908430a

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

430-3

issue

7-8

eissn

0370-8179

issn

2406-0895

journal_volume

137

pub_type

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