Author/Authors :
Kaya, Şafak Gazi Yaşargil Eğitim Araştırma Hastanesi - Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Turkey , Deveci, Özcan Gazi Yaşargil Eğitim Araştırma Hastanesi - Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Turkey , Çelen, Mustafa Kemal Gazi Yaşargil Eğitim Araştırma Hastanesi - Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Turkey , Tardu, Ali Gazi Yaşargil Eğitim Araştırma Hastanesi - Genel Cerrahi Kliniği, Turkey , Ukil, Fatma Gazi Yaşargil Eğitim Araştırma Hastanesi - Anestezi Kliniği, Turkey , Beyazıt, Ünal Gazi Yaşargil Eğitim Araştırma Hastanesi - Genel Cerrahi Kliniği, Turkey , Kaya, Sedat Gazi Yaşargil Eğitim Araştırma Hastanesi - Anestezi Kliniği, Turkey , Çil, Hatice Gazi Yaşargil Eğitim Araştırma Hastanesi - Nöroloji Kliniği, Turkey , Kaya, Şehmuz Van Bölge Eğitim Araştırma Hastanesi - Ortopedi ve Travmatoloji Kliniği, Turkey , Elaldı, Nazif Cumhuriyet Üniversitesi - Tıp Fakültesi - Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Turkey
Abstract :
A 26 year-old man who were followed up in a general surgical service as a result of perineal injury was consulted by us due to muscle spasms. The patient was a construction worker and had injured by an iron bar from the perianal region two days ago. In emergency department, tetanus vaccine had been only applied in same day. He was diagnosed as tetanus and admitted to intensive care unit. He was given 5000 U human tetanus ımmune globulin. Intravenous diazepam was given for muscle spasms. Intravenous metronidazole had been applied since the first day of hospitalization. We thought that he might need mechanical ventilation, therefore, patient was referred to another hospital. It was learned that patient had no complications and he was discharged on the 7th day of hospitalization. In conclusion, tetanus is still a problematic infection, although it can be prevented by vaccination. It should kept in mind that tetanus may develop after injury and in addition to tetanus vaccine, application of ımmune globulin is also important.
