Document Detail

Tetanus in Singapore: report of three cases.
MedLine Citation:
PMID:  8838999     Owner:  NLM     Status:  MEDLINE    
Three cases of tetanus in Singapore are presented. One local resident had cephalic tetanus most likely secondary to otitis media and the other two, residents from surrounding Asean countries, had generalised tetanus. The portal of entry was a puncture wound on the foot in one patient and the ear in another. No portal of entry was identified in one patient. All three patients required tracheostomy, ventilatory support and intensive care management for periods ranging from 11 to 22 days. One patient died from complications of nosocomial septicaemia and one patient required prolonged rehabilitation. There was a questionable history of tetanus immunization in the Singapore resident whereas the other two patients who were foreigners had never received any immunization. Tetanus is an uncommon but important disease in Singapore. In spite of the availability of intensive care management, it continues to be a disease with significant morbidity and mortality. Early recognition and treatment of the disease are critical factors in determining the prognosis. This is a disease that may be largely prevented by adequate immunization.
J Raghuram; Y Y Ong; S Y Wong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  24     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1997-02-04     Completed Date:  1997-02-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  869-73     Citation Subset:  IM    
Department of Respiratory and Critical Care Medicine, Singapore General Hospital.
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MeSH Terms
Abdominal Pain / diagnosis
Aged, 80 and over
Ear Canal / injuries
Fatal Outcome
Foot Injuries / complications
Intensive Care
Otitis Media / microbiology
Respiration, Artificial
Sepsis / microbiology
Tetanus / diagnosis*,  prevention & control,  therapy
Tetanus Toxoid / administration & dosage
Trismus / diagnosis
Wounds, Penetrating / complications
Reg. No./Substance:
0/Tetanus Toxoid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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