Generalized tetanus as a complication of closed fracture of the tibia and the fibula
<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Tetanus is a preventable infectious disease that can cause death. The clinical manifestations are due to a powerful toxin secreted by Clostridiumtetani, a Gram-...
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Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2018-12-01
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Online Access: | http://revanestesia.sld.cu/index.php/anestRean/article/view/418 |
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doaj-923441b7a30f4d0cb77d8c56c9f592992020-11-29T03:49:45ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182018-12-01172416Generalized tetanus as a complication of closed fracture of the tibia and the fibulaIrelys Casacó Vázquez0Editorial Ciencias Médicas. La Habana<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Tetanus is a preventable infectious disease that can cause death. The clinical manifestations are due to a powerful toxin secreted by Clostridiumtetani, a Gram-positive bacillus that penetrates through losses of skin continuity, regardless of the wound's size.<br /> <strong>Objective: </strong>To present the clinical evolution of a female patient living in a rural area in Latacunga, Cotopaxi, Ecuador.<br /> Development: Patient with no history of previous immunization who went to the emergency room due to a closed fracture of the tibia and the fibula in the left lower limb as a result of a traffic accident. The clinical diagnosis of generalized tetanus was based on the appearance on the ninth day of dysphagia´s trauma, trismus, nuchal rigidity, and later on: generalized contractures with opistho-tonus, cardiorespiratory arrest, and autonomic dysfunction. With a prolonged hospital stay of 82 days, she received anesthesia under critical conditions in 15 occasions, and suffered serious complications. She remained for 46 days in the intensive care unit.<br /> <strong>Conclusions: </strong>This case emphasizes the permanent threat of tetanus in this environment, as well as the need to implement immunization schemes in a more comprehensive and constant manner.</span>http://revanestesia.sld.cu/index.php/anestRean/article/view/418tétanosfractura cerradaanestesia |
collection |
DOAJ |
language |
Spanish |
format |
Article |
sources |
DOAJ |
author |
Irelys Casacó Vázquez |
spellingShingle |
Irelys Casacó Vázquez Generalized tetanus as a complication of closed fracture of the tibia and the fibula Revista Cubana de Anestesiología y Reanimación tétanos fractura cerrada anestesia |
author_facet |
Irelys Casacó Vázquez |
author_sort |
Irelys Casacó Vázquez |
title |
Generalized tetanus as a complication of closed fracture of the tibia and the fibula |
title_short |
Generalized tetanus as a complication of closed fracture of the tibia and the fibula |
title_full |
Generalized tetanus as a complication of closed fracture of the tibia and the fibula |
title_fullStr |
Generalized tetanus as a complication of closed fracture of the tibia and the fibula |
title_full_unstemmed |
Generalized tetanus as a complication of closed fracture of the tibia and the fibula |
title_sort |
generalized tetanus as a complication of closed fracture of the tibia and the fibula |
publisher |
Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
series |
Revista Cubana de Anestesiología y Reanimación |
issn |
1726-6718 |
publishDate |
2018-12-01 |
description |
<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Tetanus is a preventable infectious disease that can cause death. The clinical manifestations are due to a powerful toxin secreted by Clostridiumtetani, a Gram-positive bacillus that penetrates through losses of skin continuity, regardless of the wound's size.<br /> <strong>Objective: </strong>To present the clinical evolution of a female patient living in a rural area in Latacunga, Cotopaxi, Ecuador.<br /> Development: Patient with no history of previous immunization who went to the emergency room due to a closed fracture of the tibia and the fibula in the left lower limb as a result of a traffic accident. The clinical diagnosis of generalized tetanus was based on the appearance on the ninth day of dysphagia´s trauma, trismus, nuchal rigidity, and later on: generalized contractures with opistho-tonus, cardiorespiratory arrest, and autonomic dysfunction. With a prolonged hospital stay of 82 days, she received anesthesia under critical conditions in 15 occasions, and suffered serious complications. She remained for 46 days in the intensive care unit.<br /> <strong>Conclusions: </strong>This case emphasizes the permanent threat of tetanus in this environment, as well as the need to implement immunization schemes in a more comprehensive and constant manner.</span> |
topic |
tétanos fractura cerrada anestesia |
url |
http://revanestesia.sld.cu/index.php/anestRean/article/view/418 |
work_keys_str_mv |
AT irelyscasacovazquez generalizedtetanusasacomplicationofclosedfractureofthetibiaandthefibula |
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