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Study Papers | Medical Science | India | Volume 12 Issue 1, January 2023

Case Report of Neonatal Tetanus

Dr. Raksha R Kamat | Dr. Panna Bulsara

Abstract: Introduction: Neonatal tetanus is the infantile form of generalized tetatnus. Usually seen on 3-12 days of birth. Caused by clostridium tetani, which is Spore forming, motile gram positive, obligate anaerobe. Approximately 20, 000 deaths occurred due to Neonatal Tetanus. They present with difficulty in sucking and swallowing, Paralysis of movement, rigidity to touch and spasm, with or without opisthotonus. Portal of entry is umbilical stump. it is purely a clinical diagnosis. Case report: 8 day old male child admitted in new civil hospital with complaint of generalized seizure. After admission in nicu baby develop spasm to noise, painand we reached to the diagnosis of Neonatal Tetanus. We took detail history from the mother. According to the mother baby was delivered at home by aya (local dai). Unsterilized technique were used during delivery, cord was cut with unsterilized blade, tie with thread. Mother had not taken Tetanus toxoid dose. In our nicu since patient had breathing difficulty was kept on ventilator, injection metronidazole, inj diazepam, inj TT and inj tetglob, Injection penicillin G, meropenem, Inj collistin given. Patient was kept in isolation room. patient condition was deteriorating day by day. Condition was explained to relative and they took DAMA since chances of survival was little less. Discussion: Neonatal tetanus can be prevented by proper immunization of mother, neonate. Taking aseptic precaution during time of delivery. In rural area this work can be done by ASHA worker. Conclusion: Clinician should be aware of condition. Neonatal tetanus in majority of cases leads to death of pateint.

Keywords: Neonatal Tetanus, Human tetanus immunoglobulin, opisthotonus, metronidazole, penicillin-G

Edition: Volume 12 Issue 1, January 2023,

Pages: 822 - 823