• Med Sante Trop · Nov 2018

    Case Reports

    Tetanus after application of traditional topical treatment to a severe burn.

    • B G S Irie, K V Asse, N J Kadiane, N Kofi, C Nda-Koffi, B Ogondon, S Kouadio, K E Kouame, and Y Brouh.
    • Service d'anesthésie-réanimation, CHU de Bouaké, BP 1174 Bouaké, Côte d'Ivoire.
    • Med Sante Trop. 2018 Nov 1; 28 (4): 446-447.

    AbstractA 2-year-old child was accompanied by his parents to the pediatric emergency room for refusal to eat, trismus and generalized contractures four days after the application of a traditional topical treatment (Cassava leaves) on lesions of a severe thermal burn. A temperature of 38̊C, a heart rate of 114 beats/min, and a blood pressure of 90/60 mm Hg were recorded. The tetanus vaccination was not up to date. The diagnosis of tetanus was immediately suggested. Antitetanus serum (immunoglobulin), an antibiotic (amoxicillin and clavulanic acid), and a myorelaxant (benzodiazepine) were administered. Local treatments were also performed. The child died within 24 hours.

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