| Tetanus in Singapore: report of three cases. | |
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MedLine Citation:
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PMID: 8838999 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J Raghuram; Y Y Ong; S Y Wong |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 1997-02-04 Completed Date: 1997-02-04 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7503289 Medline TA: Ann Acad Med Singapore Country: SINGAPORE |
Other Details:
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Languages: eng Pagination: 869-73 Citation Subset: IM |
Affiliation:
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Department of Respiratory and Critical Care Medicine, Singapore General Hospital. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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diagnosis Adult Aged Aged, 80 and over Ear Canal / injuries Fatal Outcome Foot Injuries / complications Humans Immunization Intensive Care Male Otitis Media / microbiology Prognosis Respiration, Artificial Sepsis / microbiology Singapore Tetanus / diagnosis*, prevention & control, therapy Tetanus Toxoid / administration & dosage Tracheostomy Trismus / diagnosis Wounds, Penetrating / complications |
| Chemical | |
Reg. No./Substance:
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0/Tetanus Toxoid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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