Cent Eur J Public Health 2021, 29(4):322-324 | DOI: 10.21101/cejph.a6702

Unvaccinated child tetanus from nasal toy battery

Lukáš Homola1, Josef Klučka2, Jan Helešic1, Zlata Jirsenská1, Milan Kratochvíl2, Petr Dominik2, Milan Urík3, Ondřej Horák4, Petr Jabandžiev5, Lenka Krbková1, Petr Štourač2
1 Department of Children's Infectious Diseases, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic
2 Department of Paediatric Anaesthesia and Intensive Care Medicine, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic
3 Department of Paediatric Otorhinolaryngology, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic
4 Department of Neurology, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic
5 Department of Paediatrics, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic

We present the case report of an unvaccinated Czech child with tetanus. The child had not received any vaccines due to its parent's refusal. The disease originated from the wound in the nose caused by a small flat battery. The typical onset of tetanus followed after two weeks, rapidly progressing to respiratory failure with the need for mechanic ventilation despite intensive treatment. The child spent five weeks in the hospital. Mild long-term sequelae persisted 5 months.

Keywords: tetanus, intensive care, paediatric patient

Received: February 9, 2021; Revised: December 5, 2021; Accepted: December 5, 2021; Published: December 31, 2021  Show citation

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Homola L, Klučka J, Helešic J, Jirsenská Z, Kratochvíl M, Dominik P, et al.. Unvaccinated child tetanus from nasal toy battery. Cent Eur J Public Health. 2021;29(4):322-324. doi: 10.21101/cejph.a6702. PubMed PMID: 35026073.
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References

  1. Hahné SJ, White JM, Crowcroft NS, Brett MM, George RC, Beeching NJ, et al. Tetanus in injecting drug users, United Kingdom. Emerg Infect Dis. 2006;12(4):709-10. Go to original source... Go to PubMed...
  2. Koliou M, Ioannou Y, Stylianidou G. A case of childhood tetanus in Cyprus in 2003: a rarely seen disease. Euro Surveill. 2007 Feb 8;12(2):E070208.5. doi: 10.2807/esw.12.06.03136-en. Go to original source... Go to PubMed...
  3. Giovanetti F, Pellegrino A. A case of tetanus in a child whose parents refused immunization - Piedmont Region, Italy, 2006. Euro Surveill. 2007 Jun 21;12(6):E070621.2. doi: 10.2807/esw.12.25.03223-en. Go to original source... Go to PubMed...
  4. de Jong PR, de Heer-Groen T, Schröder CH, Jansen NJ. Generalized tetanus in a 4-year old boy presenting with dysphagia and trismus: a case report. Cases J. 2009 Apr 29;2:7003. doi: 10.1186/1757-1626-2-7003. Go to original source... Go to PubMed...
  5. Urbančíková I, Pisarčíkova M, Tischler G, Bazárová K, Hudáčková D. Tetanus in Slovakia. Vakcinologie. 2018;12(1):20-5. (In Slovak.)
  6. Guzman-Cottrill JA, Lancioni C, Eriksson C, Cho YJ, Liko J. Notes from the field: tetanus in an unvaccinated child - Oregon, 2017. MMWR Morb Mortal Wkly Rep. 2019 Mar 8;68(9):231-2. Go to original source... Go to PubMed...
  7. Wen SC, Webb C, Miles F, Wilson E. Tetanus in New Zealand children: intensive care management of a vaccine preventable disease. J Paediatr Child Health. 2016 Dec;52(12):1070-4. Go to original source... Go to PubMed...