Neonatal tetanus associated with skin infection

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dc.contributor.author Maharaj, M.
dc.contributor.author Dungwa, Norman
dc.date.accessioned 2016-10-24T08:06:27Z
dc.date.available 2016-10-24T08:06:27Z
dc.date.issued 2016-09
dc.description.abstract A 1-week-old infant was brought to a regional hospital with a history of recurrent seizures following lower abdominal septic skin infection. She was found to have neonatal tetanus, and a spatula test was positive. The tetanus infection was associated with a superficial skin infection, common in neonates. Treatment included sedatives (diazepam, chlorpromazine, phenobarbitone and morphine), muscle relaxants, antibiotics and ventilation in the neonatal intensive care unit. Intrathecal and intramuscular immunoglobulin were given, and the wound was treated. The infant recovered, with no seizures by the 16th day from admission, and was off the ventilator by the 18th day. This was shorter than the usual 3 - 4 weeks for neonates with tetanus at the hospital. The question arises whether tetanus immunisation should be considered in infants with skin infections, which frequently occur in the neonatal period. en_ZA
dc.description.department Paediatrics and Child Health en_ZA
dc.description.librarian am2016 en_ZA
dc.description.uri http://www.samj.org.za en_ZA
dc.identifier.citation Maharaj, M & Dungwa, N 2016, 'Neonatal tetanus associated with skin infection', South African Medical Journal, vol. 106, no. 9, pp. 888-890. en_ZA
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.uri http://hdl.handle.net/2263/57421
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.rights © 2016 Health & Medical Publishing Group. This work is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0). en_ZA
dc.subject Hospital en_ZA
dc.subject Skin infection en_ZA
dc.subject Neonatal tetanus en_ZA
dc.subject Infant en_ZA
dc.title Neonatal tetanus associated with skin infection en_ZA
dc.type Article en_ZA


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