Did we forget tetanus?
Autor: | Slobodan Savic, Djordje Alempijevic, Dragan Ječmenica, Vladimir Zivkovic, Milosav Kiurski, Ivanka Baralic, Snezana Pavlekic |
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Jazyk: | angličtina |
Rok vydání: | 2009 |
Předmět: |
medicine.medical_specialty
medico-legal aspects Medical malpractice lcsh:Medicine Disease Tetanus Antitoxin tetanus immunization Fatal Outcome death Health care medicine Tetanus Toxoid Humans Surgical treatment Aged Tetanus business.industry General surgery Vaccination lcsh:R Coccygeal region General Medicine medicine.disease Surgery Immunization Wound Infection Female Foreign body business |
Zdroj: | Srpski Arhiv za Celokupno Lekarstvo, Vol 137, Iss 7-8, Pp 430-433 (2009) |
ISSN: | 0370-8179 |
Popis: | 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. |
Databáze: | OpenAIRE |
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