Paediatric Tetanus: Are We Letting Our Guard Down?
Tetanus is a vaccine-preventable, life-threatening disease, which is seldom seen in states of India like Goa with good vaccine coverage. We report a 9-year-old, partially immunised male, who presented as a case of generalised tetanus, secondary to a leg wound. The case was graded as severe (> 10) on Modified Patel & Joag criteria. Management was challenging as spasms were difficult to control despite high doses of sedatives. On further research, an alarming falling trend in immunisation coverage was also noted. This case report serves as a reminder that vaccine-preventable diseases may still be seen in todayâ€™s world and as well as a guide on grading the severity of tetanus and how to control the spasms effectively.
How to cite this article:
Martins GP, Keny R, Joglekar S, Silveira MP. Paediatric Tetanus: Are We Letting the Guard Down?. Postgrad J Pediatr Adol Med. 2022;1(2):33-35.
RhinesmithE, Fu L. Tetanus disease, treatment, management. Pediatr Rev. 2018;39;430. [PubMed] [Google Scholar]
Behrens H, Ochmann S, Dadonaite B, Roser M. Tetanus. Our World in Data [Internet]; 2019 [cited 2021;15]. Available from: https://ourworldindata.org/tetanus1
Global Burden of Disease Collaborative Network. Findings from the Global Burden of Disease Study 2017. United States. Institute for Health Metrics and Evaluation (IHME) 2018.
World Health Organization [Internet]. Diphtheria Tetanus Toxoid and Pertussis (DTP) vaccination coverage; [cited 2021:18]. Available from: https://immunizationdata.who.int/pages/coverage/dtp.html?Code=Ind&Antigen=Dtpcv3&Year=
De Alba MD, Valle-Leal JG, Beltran JG, Vazquez-Amparano AJ. [Tetanus, a current disease in pediatric population case report]. Rev Chil Pediatr. 2017;88(4):507-10. Spanish. [PubMed] [Google Scholar]
World Health Organization [Internet]. Current recommendations for treatment of tetanus during humanitarianism emergencies. WHO Technical Note; 2010 Jan [cited 2021;15]. Available from: https://apps.who.int/iris/bitstream/handle/10665/70219/WHO_HSE_GAR_DCE_2010.2_eng.pdf [Google Scholar]
Tullu MS, Deshmukh CT, Kamat JR. Experience of pediatric tetanus cases from Mumbai. Indian Pediatr. 2000;37(7):765-71. [PubMed] [Google Scholar]
Patel JC, Joag GG. Grading of tetanus to evaluate prognosis. Indian J Med Sci. 1959;13:834-40. [PubMed] [Google Scholar]
National Health Mission [Internet]. Universal Immunisation Programme coverage; [cited 2021;27]. Available from: https://nhm.gov.in/index1.php?lang=1&level=3&sublinkid=1211&lid=656