Evidence map›Paper›PMID 37955309›Full record

ArticleThe American journal of tropical medicine and hygiene2023

Case Report: A Challenging Case of Tetanus Presenting with Headache.

Afiq Izzudin A Rahim, Emir Afif Mohammad Azlan, Muhamad Ruslan Rahman, Nafiisah Mahmud Pathi, Mansor Ismail, Wan Aliaa Wan Sulaiman

Open access · greenAbstract readCase Reports
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Afiq Izzudin A RahimDepartment of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia.
Emir Afif Mohammad AzlanCommunicable Disease Unit, Kedah Health State Department, Simpang Kuala, Jalan Kuala Kedah, Alor Setar, Kedah, Malaysia.
Muhamad Ruslan RahmanLangkawi Health District Office, Kompleks LADA, Kuah, Langkawi, Kedah, Malaysia.
Nafiisah Mahmud PathiLangkawi Health District Office, Kompleks LADA, Kuah, Langkawi, Kedah, Malaysia.
Mansor IsmailLangkawi Health District Office, Kompleks LADA, Kuah, Langkawi, Kedah, Malaysia.
Wan Aliaa Wan SulaimanNeurology Department, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Universiti Putra Malaysia · MYUniversiti Sains Malaysia · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tetanus is a life-threatening infectious neurological condition that has become uncommon due to large-scale immunization campaigns. We describe a rare instance of generalized tetanus presenting with a headache on a tropical island in Malaysia. A 43-year-old woman presenting with headaches and generalized body weakness, which progressed into trismus and neck stiffness. Her medical history indicated a wound on the sole of her foot caused by shattered glass in an unhygienic area, but no tetanus prophylaxis had been administered. The patient was subsequently given immunoglobulin, tetanus toxoid, metronidazole, and sedatives in the recommended dosages. Her neurological condition improved remarkably, but she suffered blood pressure fluctuations due to dysautonomia. She was successfully discharged with complete recovery after 6 months of follow-up. The case demonstrates the significance of appropriate identification and care of tetanus, as well as the lethal effects of untreated wounds in vulnerable patients.

Indexed as

TetanusAdultFemaleHeadacheHumansMetronidazoleTetanus ToxoidTrismusMetronidazoleTetanus Toxoid

Identifiers

PMID37955309
PMCPMC10793045
OpenAlexW4387674310

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.