RARE DISEASE: A CASE OF OTOGENIC TETANUS AND THE IMPORTANCE OF MICROBIOLOGICAL DIAGNOSIS OF THE DISEASE IN PATIENTS PROGNOSIS.

Dr Anu Sharma, Dr Sonal Agarwal, Dr K. V. Ingole

Abstract


This is case report of Otogenic tetanus in a 6 year old female who was admitted to Pediatric department with the chief
complains of inability to open mouth and difculty in swallowing since two days. Patient has discharge from left ear while
right ear tympanic membrane was retracted. Patient's ear swabs were taken for Gram stain and both aerobic as well as anaerobic culture. Gram
stain revealed Gram positive bacilli with terminal spores so provisional report was given as Gram positive bacilli with few showing terminal
spores suggestive of Clostridium tetani. Aerobic culture showed no growth, while anaerobic culture showed growth which showed swarming and
was later conrmed with Gram stain which showed Gram positive bacilli with terminal spores resembling “drum stick appearance”. Patient was
given anti tetanus serum along with metronidazole and diazepam. Patient's condition improved and patient was discharged on 10th day.


Keywords


Otogenic tetanus uncommon entity developing countries

Full Text:

PDF

References


Hyman I, Bower AG. Otogenicteanus: report of case. JAMA 1934;103:480

Boyle, I.T, brown, W.C. &Richardson,E. A “otogenic tetanus: report of a case with bacteriological findings.British medical council, 1965;vol2-5453:89.

Patel JC, Mehta BC. Tetanus study of 8,697 cases.Indian journal Med Sci 1999;53:393-401.

M Lemstra,CNeudorf,JOpondo,et al Disparity in childhood immunizations.Paediatr child health 2007;12(10):847-852

Briss PA, RodewaldLE,HinmanAR,et al. Reviews of evidence regarding interventions to improve vaccination coverage in children,adolescents and adults.The task force on community preventive services.Am J Prev Med 2000;18:97-140.


Refbacks

  • There are currently no refbacks.