Evidence map›Paper›PMID 40852012›Full record

ArticleAnnals of medicine and surgery (2012)2025

Tetanus - a lethal and neglected infectious disease.

Priya Karna, Amit Kumar Thakur

Abstract readCase Reports
In one paragraph

Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

2 authors.

Priya KarnaManipal College of Medical Sciences, Manipal, Nepal.ORCID https://orcid.org/0009-0009-1210-2681
Amit Kumar ThakurManipal College of Medical Sciences, Manipal, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction and importance: Tetanus, caused by Case presentation: A 55-year-old male with a history of alcohol abuse presented with classic tetanus symptoms, including muscle rigidity, trismus, and opisthotonus. Despite intravenous medications and antibiotics, his condition worsened, requiring intubation, mechanical ventilation, and resuscitation for cardiac complications. Unfortunately, due to financial constraints, he left the ICU against medical advice and died shortly after discharge. Clinical discussion: The incidence of tetanus has significantly decreased in affluent nations since the 1940s due to widespread vaccination. From 2009 to 2017, 264 cases were reported in the U.S. Despite global efforts, tetanus remains a public health concern, with the World Health Organization reporting 21,897 cases globally in 2023, reflecting ongoing gaps in prevention, vaccination coverage, and healthcare access. Generalized tetanus, characterized by painful muscle spasms and autonomic dysfunction, is more common than localized or cephalic tetanus. Diagnosis is clinical, and treatment involves wound care, managing spasms, administering anti-tetanus immunoglobulin, and an accelerated immunization regimen for long-term protection. Conclusion: This case highlights the critical need for vigilance and vaccination programs in areas with limited healthcare resources. Tetanus continues to be a major public health concern, and timely interventions, such as intravenous immunoglobulin, can be lifesaving. In developing countries, prioritizing routine vaccination and booster shots is essential to reduce the devastating impact of this preventable disease.

Indexed as

case reportintravenous immunoglobulin (IVIG)tetanusvaccination

Identifiers

PMID40852012
PMCPMC12369815

What OpenQuestion holds

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LicenceCC BY
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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.