Did we forget tetanus?

Introduction. Currently, in our country (Republic of Serbia) tetanus is a rarely occurring disease, mainly affecting people older than 65 years of age. A small number of reported cases is mainly due to appropriate immunization. Therefore, each case of tetanus may be considered as failure of health c...

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Main Authors: Alempijević Đorđe, Baralić Ivanka, Kiurski Milosav, Ječmenica Dragan, Pavlekić Snežana, Živković Vladimir, Savić Slobodan
Format: Article
Language:English
Published: Serbian Medical Society 2009-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790908430A.pdf
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author Alempijević Đorđe
Baralić Ivanka
Kiurski Milosav
Ječmenica Dragan
Pavlekić Snežana
Živković Vladimir
Savić Slobodan
author_facet Alempijević Đorđe
Baralić Ivanka
Kiurski Milosav
Ječmenica Dragan
Pavlekić Snežana
Živković Vladimir
Savić Slobodan
author_sort Alempijević Đorđe
collection DOAJ
description Introduction. Currently, in our country (Republic of Serbia) tetanus is a rarely occurring disease, mainly affecting people older than 65 years of age. A small number of reported cases is mainly due to appropriate immunization. Therefore, each case of tetanus may be considered as failure of health care system to provide adequate immunization. Case outline. A 71-year-old woman was injured in her garden. She sustained laceration in the left coccygeal region. The next day the wound was treated by a surgeon, but tetanus postexposure prophylaxis was not administrated. On the fifth day following the incident, the symptoms and signs of tetanus became apparent, and the patient died two days later. Postmortem examination revealed the wound that was not adequately treated, since there was a foreign body and a dressing inserted in the wound. Signs of acute (aerobic) infection were also present. Conclusion. Tetanus is a severe, potentially lethal disease that is absolutely preventable. Mistakes in immunization and surgical treatment of the wound can be considered as medical malpractice.
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spelling doaj.art-e20d2463c29e41d58485c9976cc8f7212022-12-21T20:16:09ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792009-01-011377-843043310.2298/SARH0908430ADid we forget tetanus?Alempijević ĐorđeBaralić IvankaKiurski MilosavJečmenica DraganPavlekić SnežanaŽivković VladimirSavić SlobodanIntroduction. Currently, in our country (Republic of Serbia) tetanus is a rarely occurring disease, mainly affecting people older than 65 years of age. A small number of reported cases is mainly due to appropriate immunization. Therefore, each case of tetanus may be considered as failure of health care system to provide adequate immunization. Case outline. A 71-year-old woman was injured in her garden. She sustained laceration in the left coccygeal region. The next day the wound was treated by a surgeon, but tetanus postexposure prophylaxis was not administrated. On the fifth day following the incident, the symptoms and signs of tetanus became apparent, and the patient died two days later. Postmortem examination revealed the wound that was not adequately treated, since there was a foreign body and a dressing inserted in the wound. Signs of acute (aerobic) infection were also present. Conclusion. Tetanus is a severe, potentially lethal disease that is absolutely preventable. Mistakes in immunization and surgical treatment of the wound can be considered as medical malpractice.http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790908430A.pdftetanusimmunizationdeathmedico-legal aspects
spellingShingle Alempijević Đorđe
Baralić Ivanka
Kiurski Milosav
Ječmenica Dragan
Pavlekić Snežana
Živković Vladimir
Savić Slobodan
Did we forget tetanus?
Srpski Arhiv za Celokupno Lekarstvo
tetanus
immunization
death
medico-legal aspects
title Did we forget tetanus?
title_full Did we forget tetanus?
title_fullStr Did we forget tetanus?
title_full_unstemmed Did we forget tetanus?
title_short Did we forget tetanus?
title_sort did we forget tetanus
topic tetanus
immunization
death
medico-legal aspects
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790908430A.pdf
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AT kiurskimilosav didweforgettetanus
AT jecmenicadragan didweforgettetanus
AT pavlekicsnezana didweforgettetanus
AT zivkovicvladimir didweforgettetanus
AT savicslobodan didweforgettetanus