Ciencia y enfermería
versión On-line ISSN 0717-9553
GONCALVES MENEGUETI, Mayra et al. SEVERE TETANUS ASSOCIATED WITH SEPTIC SHOCK IN AN ELDERLY PATIENT ADMITTED TO THE INTENSIVE CARE UNIT. Cienc. enferm. [online]. 2012, vol.18, n.1, pp. 125-130. ISSN 0717-9553. http://dx.doi.org/10.4067/S0717-95532012000100012.
We report a case of severe tetanus associated with septic shock in a 61-year-old female admitted to the Intensive Care Unit (ICU) after perforating injury in the right foot. The patient presented with loss of muscle strength, paresis in the right lower limb and dysphagia. The patient’s conditions worsened, progressing to generalized muscle spasms, dyspnea, and respiratory failure. Intense spasm made the prolonged use of invasive mechanical ventilation, sedation, and neuromuscular blockers necessary. The favorable outcome in the present case is probably related to advances in ICU management and well-trained medical and nursing staff.
Palabras clave : Tetanus; shock; septic; elderly; Intensive Care Units.