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Case Reports
. 2010 Mar;179(1):135-6.
doi: 10.1007/s11845-009-0305-9. Epub 2009 Mar 4.

Generalised tetanus in an unvaccinated adult

E G Muldoon  1 , S Cavanagh, C Fleming
Affiliations
Case Reports

Generalised tetanus in an unvaccinated adult

E G Muldoon et al. Ir J Med Sci. 2010 Mar.

Abstract

A 76-year-old previously well farmer presented having caught his left index finger in a gate. He gave no history of prior tetanus vaccination. The patient was treated in the emergency department; the wound cleaned, sutured and he was given tetanus toxoid prior to discharge. Eleven days later he represented unable to open his mouth. On examination he was noted to have trismus, generalised muscle spasms, diaphoresis and emotional lability and he was diagnosed with generalised tetanus.

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