Irie BGS, Asse KV, Kadiane NJ, Kofi N, Nda-Koffi C, Ogondon B, Kouadio S, Kouame KE, Brouh Y. Tetanus after application of traditional topical treatment to a severe burn.
Med Sante Trop 2018;
28:446-447. [PMID:
30095076 DOI:
10.1684/mst.2018.0803]
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Abstract
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.
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