John Libbey Eurotext

Médecine et Santé Tropicales

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Tetanus after application of traditional topical treatment to a severe burn Volume 28, issue 4, Octobre-Novembre-Décembre 2018

Figures

  • Figure 1
Authors
Service d’anesthésie-réanimation, CHU de Bouaké, BP 1174 Bouaké, Côte d’Ivoire
* Correspondance
  • Key words: tetanus, severe burn, traditional topic, Ivory Coast
  • DOI : 10.1684/mst.2018.0803
  • Page(s) : 446-7
  • Published in: 2018

A 2-year-old child was accompanied by his parents to the pediatric emergency room for refusal to eat, trismus and generalized contractures four days after the application of a traditional topical treatment (Cassava leaves) on lesions of a severe thermal burn. A temperature of 38̊C, a heart rate of 114 beats/min, and a blood pressure of 90/60 mm Hg were recorded. The tetanus vaccination was not up to date. The diagnosis of tetanus was immediately suggested. Antitetanus serum (immunoglobulin), an antibiotic (amoxicillin and clavulanic acid), and a myorelaxant (benzodiazepine) were administered. Local treatments were also performed. The child died within 24 hours.