Reminder of Persistent Public Health concerns: A suspected case of adult tetanus

Abstract

Tetanus, once prevalent worldwide, has become rare in developed nations since the advent of active immunization.[1] However, in India, where population density and healthcare challenges persist, the burden of adult tetanus remains largely unexplored. Here, authors present a suspected case of adult tetanus in an 18-year-old male from suburban Mumbai, highlighting the ongoing public health concern. The patient, a daily-wage worker, presented with chest pain, back spasms, and progressive muscle rigidity following trauma to his foot Despite aggressive medical intervention, including immunoglobulin therapy and intensive care, the patient succumbed to cardiac arrest ten days’ post-admission. This case underscores the persistent threat of tetanus in India, even after the successful elimination of maternal and neonatal tetanus. Delayed diagnosis due to ambiguous symptoms and neglect of basic hygiene practices contribute to severe complications and mortality. Efforts to combat tetanus should focus on enhancing public awareness, promoting vaccination, and ensuring prompt wound care.