Truncal tetanus: a case report

Abstract

Introduction: Localized tetanus is a rare form of tetanus that can progress to generalized tetanus.

Case: In this report, we present a case of localized tetanus in a 9-year-old boy who had never been vaccinated against tetanus. He had an interesting clinical presentation and was successfully treated.

Discussion: This case is the first case reported in the literature that is characterized by tetanus localized in the chest, abdomen and back muscles. This clinical condition of tetanus being localized only in the trunk without the involvement of the head and extremities is so characteristic that it can be described as 'truncal tetanus'.

Conclusion: Localized tetanus can be found in many different parts of the body, depending on location of the injury. Owing to the risk of progression to generalized tetanus, it is important to obtain a full history and perform careful physical examination for an early and accurate diagnosis.

Keywords: Localized tetanus; child; truncal.