Tetanus in a post operative patient—A case report


Tetanus is a preventable disease which commonly occurs with puncture or penetrating wounds, or contamination of cutaneous wounds. It may be secondary to surgical procedures such as gastrointestinal surgery on rare occasions. This article reports a fatal case of tetanus in a post operative patient in which the source of infection could not be ascertained. Active immunization of all persons against tetanus, adequate sterilization of surgical equipment and consumables as well as the operating rooms is advocated.

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Dienye, P. , Bock-Oruma, A. and Uyagu, D. (2013) Tetanus in a post operative patient—A case report. Case Reports in Clinical Medicine, 2, 32-34. doi: 10.4236/crcm.2013.21009.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Kasher, J.A. and Glen, M. (2007) Acquiring tetanus after haemorrhoid banding and other gastrointestinal procedures. Journal of Gastrointestinal Surgery, 11, 515-519. doi:10.1007/s11605-006-0079-6
[2] Onwuchekwa, A.C. and Asekomeh, E.G. (2009) A 10year review of outcome of management of tetanus in adults at a Nigerian tertiary hospital. Annals of African Medicine, 8, 168-172.
[3] Bartlett, J.G. (1992) Clostridium tetani. In Infectious Diseases, W. B. Saunders, Philadelphia, 1580-1583.
[4] Attygalle, D. and Karalliedde, L. (1997) Unforgettable tetanus. European Journal of Anaesthesiology, 14, 122-133. doi:10.1097/00003643-199703000-00003
[5] Patel, J.C. and Metha, B.C. (1999) Tetanus: Study of 8697 cases. Indian Journal of Medical Sciences, 53, 393-401.
[6] Public Health Laboratory Network, Tetanus Laboratory Case Definition (LCD). http://www.health.gov.au/internet/main/publishing.nsf/Content/cda-phlncd-tetanus.htm accessed on 23/1/13
[7] Mayo Clinic (2013) Tetanus: Test and diagnosis. http://www.mayoclinic.com/health/tetanus/DS00227/DSECTION=tests-and-diagnosis
[8] Dhalla, S. (2004) Postsurgical tetanus. Cannadian Journal of Surgery, 47, 375-379
[9] Segel, J. and Shaff, B.L. (1969) An unusual case of postoperative tetanus. South African Medical Journal, 43, 1556-1557.
[10] Johnstone, D.D. (1958) Tetanus in Nigeria: Review of 100 cases treated in Ibadan. British Medical Journal, 1, 12-16. doi:10.1136/bmj.1.5061.12
[11] Kingham, T.P., Kamara, T.B., Cherian, M.N., Gosselin, R.A., Simkins, M., Meissner, C. et al., Quantifying surgical capacity in Sierra Leone: A guide for improving surgical care. Archives of Surgery, 144, 122-127. doi:10.1001/archsurg.2008.540
[12] Kushner, A.L., Cherian, M.N., Noel, L., Spiegel, D.A., Groth, S. and Etienne, C. (2010) Addressing the millennium development goals from a surgical perspective: Essential surgery and anesthesia in 8 lowand middle-income countries. Archives of Surgery, 145, 154-159. doi:10.1001/archsurg.2009.263
[13] Mateos, I., Valencia, R., Torres, M.J., Cantos, A., Conde, M. and Aznar, J. (2006) Nosocomial outbreak of Pseudomonas aeruginosa endophthalmitis. Infection Control and Hospital Epidemiology, 27, 1249-1251. doi:10.1086/508838
[14] Pflug, I.J., Holcomb, R.G. and Gomez, M.M. (2001) Principles of the thermal destruction of microorganisms. In: S. S. Block, Ed., Disinfection, Sterilization, and Preservation. 5th Edition, Lipincott Williams and Wilkins, Philadelphia, 79-129.
[15] Dindo, D., Muller, M.K., Weber, M. and Clavien, P.A. (2003) Obesity in general elective surgery. Lancet, 361, 2032-2035. doi:10.1016/S0140-6736(03)13640-9
[16] Ofili, A.N. and Okojie, O.H. (2005) Assessment of the role of traditional birth attendants in maternal health care in Oredo Local Government Area, Edo State, Nigeria. Journal of Community Medicine and Primary Health Care, 17, 55-60. doi:10.4314/jcmphc.v17i1.32428

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