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PubMed · 2583016

[Postoperative tetanus].

M Federmann·M Kotzerke
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Abstract

12 days after an operation for pericaecal abscess due to perforation of the appendix, a 57-year-old man developed severe tetanus requiring mechanical ventilation for 37 days. Additional complications--pneumonia with septicaemia, disseminated intravascular coagulopathy, prolonged renal failure--were controlled by intensive medical measures. The tetanus was most likely of endogenous origin: Clostridium tetani occurs as a saprophyte in the gastrointestinal tract. It is recommended that tetanus immunization status of a patient should be checked before any operation on the gastrointestinal tract. If negative, prophylactic tetanus antitoxin should be administered.

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AbscessAppendicitisCecal DiseasesDisseminated Intravascular CoagulationHumansIntestinal PerforationKidney Failure, ChronicMaleMiddle AgedPneumoniaPostoperative ComplicationsPseudomonas InfectionsRespiration, ArtificialRupture, SpontaneousSepsisTetanusTetanus AntitoxinCase ReportsEnglish AbstractJournal Article

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M Federmann, M Kotzerke. 1989-11-24. [Postoperative tetanus].. https://doi.org/10.1055/s-2008-1066835

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