Abstract
We report herein the case of a 75-year-old man who developed severe tetanus 24h after the resection of a gangrenous perforated small intestine. It seemed that the tetanus was caused by a spillage of the intestinal contents harboringClostridium tetani; however, this was not identified by a culture. The diagnosis of tetanus was made only when opisthotonus in this patient became evident and normal tetanus treatment proved to be successful
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References
Health and Welfare Statistics Association (1997) Kokumin Eisei no Doukou (in Japanese), Tokyo, pp 450–451
Clay RC, Bolton JW (1964) Tetanus arising from gangrenous unperforated small intestine. JAMA 14:856–858
Segel J, Shaff BL (1969) An unusual case of postoperative tetanus. S Afr Med J 27:1556–1557
Murphy KJ (1978) Tetanus after rubber-band ligation of haemorrhoids. B Med J 17: 1590–1591
Myers KJ, Heppell J, Bode WE, Culp CE, Thurber DL, Van Scoy RE (1984) Tetanus after anorectal abscess. Mayo Clin Proc 59:429–430
Lennard TW, Gunn A, Sellers J, Stoddart JC (1984) Tetanus after elective cholecystectomy and exploration of the common bile duct. Lancet 1:1466–1467
Parker L, Mandal BK (1984) Postoperative tetanus. Lancet 2:407
Fleshner PR, Hunter JG, Rudick J (1988) Tetanus after gastrointestinal surgery. Am J Gastroenterol 83:298–300
Singh K, Chhina RS, Kaul TK (1992) Postoperative tetanus following cryosurgery for haemorrhoids. Trop Doct 22:135–136
Meyer KA, Spector BK (1932) The incidence of tetanus bacilli in the stools and on the regional skin of one hundred urban herniotomy cases. Surg Gynecol Obstet 54:785–789
Kanda K, Takano K (1983) Effect of tetanus toxin on the excitatory and inhibitory post-synaptic potentials in the cat motorneurones. J Physiol 235:319–333
LaForce FM, Young LS, Bennett JV (1969) Tetanus in the United States (1965–1969). N Engl J Med 280:569–574
Wesley AG, Hariparsad D, Pather M, Rocke DA (1983) Labetalol in tetanus. The treatment of sympathetic nervous system overactivity. Anesthesia 38:243–249
Richardson JP, Knight AL (1993) The management and prevention of tetanus. J Emerg Med 11:737–742
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Furui, J., Enjyoji, A., Susumu, S. et al. Tetanus after a resection for a gangrenous perforated small intestine: Report of a case. Surg Today 29, 626–628 (1999). https://doi.org/10.1007/BF02482988
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DOI: https://doi.org/10.1007/BF02482988