Tetanus Management: A Case Report


  • Fitriyani Fitriyani Bagian Neurologi, RSUD DR. H. Abdoel Moeloek Bandar Lampung
  • Mega Endiana Dewi Lilis Handayani Medical Faculty University of Lampung
  • Nyoman Mupu Murtane Universitas Lampung




tetanus, management, trismus


Tetanus is a health problem that occurs throughout the world, especially in developing countries, which can be prevented by immunization. Tetanus is an acute toxemia disease characterized by symptoms of severe and periodic muscle spasms and is caused by the bacterium Clostridium tetani. The first step in diagnosing a tetanus patient is to take a complete history, physical examination, and laboratory tests. A case report of an 80-year-old man came to the emergency room at Abdul Moeloek Hospital in Lampung Province with complaints of stiffness and tension in his hands, mouth, neck and back since 4 days before entering the hospital. Stiffness begins in the mouth that is difficult to open, followed by a feeling of stiffness in the hands, neck and back. Seven days before the complaint appeared, the patient was injured by a sharp object on the palm of his right hand while cleaning the pool and the wound had not been treated properly. Vital signs 122/72, pulse 66, respiration 20, temperature 36.70C. Physical examination found trismus, stiff neck, opisthotonos. The patient is treated in an isolation room and receives adequate care.


Lipman J. Tetanus. In: Bersten AD, Soni N, eds. Oh’s Intensive Care Manual. 6th ed. Philadelphia: Butterworth Heinemann Elsevier; 2009.p.593-7. 3.

Budd A, Blanton L, Grohskopf L, et al. Manual for the surveillance of vaccine-preventable diseases. Centers for Disease Control and Prevention. 2017.

Sri M. Clinical Aspects of Tetanus in Bali, Indonesia.

Mcelaney P, Iyanaga M, Monks S, Michelson E. The Quick and Dirty: A Tetanus Case Report. Clin Pract Cases Emerg Med. 2019 Jan 22;3(1):55–8

Ferreira FC, Angelis S, Fernandes, C. Case Report: Accidental Tetanus. Journal Infection Disease. 2016. 02(02).

Safrida, W. Tata Laksana Tetanus Generalisata Dengan Karies Gigi. 2019. Jurnal Kesehatan.

Cook TM, Protheroe RT, Handel JM. Tetanus: a review of the literature. Br J Anaesth. 2001;87(3):477-87.

Thwaites CL, Yen LM. Tetanus. In: Fink MP, Abraham E, Vincent JL, Kochanek PM, editors. Textbook of Critical Care. 5th ed. Philadelphia: Elsevier Saunders; 2005.

Taylor AM. Tetanus. Continuing education in anesthesia, Critical Care & pain. 2006;6 (3)

Cook TM, Protheroe RT, Handel JM. Tetanus: a review of the literature. Br Journal Anaesth. 2001;87(3):477-87.

Dawn MT, Elisson RT. Tetanus. Irwin and Rippe’s intensive care medicine. 6th ed. Massachusetts: Lippincot Williams & Wilkins. 2008.

Dawn MT, Elisson RT. Tetanus. In: Irwin RS, Rippe JM, editors. Irwin and Rippe’s intensive care medicine. 6th ed. Massachusetts: Lippincot Williams & Wilkins. 2008.p.1140-1

Kliegman RM, Stanton BF, Schor NF, Game JW, Behrman RE. Nelson textbook of pediatrics 19th edition. Philadelphia: Elsevier Saunders. 2011

Edlich RF, Hill LC, Mahler CA, Cox MJ, Becker DG, Horowitz JH, et al. Management and prevention of tetanus. Niger Journal Pediatry. 2003;13(3):139-54.

ClarissaTertia, I Ketut Sumada, Ni Ketut Candra Wiratm. Tetanus Tipe General Pada Usia Tua Tanpa Vaksinasi: Laporan Kasus Dan Tinjauan Pustaka. 2019. Callosum Neurologi Journal. 2(3): 110-118

Hassel B. Tetanus: Pathophysiology, treatment, and the possibility of using botulinum toxin against tetanus-induced rigidity and spasms. Toxins (Basel). 2013; 5(1): 73-83.

Laksmi NKS. Penatalaksanaan tetanus. Cermin Dunia Kedokteran. 2014; 41(11): 823-7

Surya R. Skoring prognosis tetanus generalisata pada pasien dewasa. Cermin Dunia Kedokteran. 2016;43.



How to Cite

Fitriyani, F., Lilis Handayani, M. E. D., & Murtane, N. M. (2023). Tetanus Management: A Case Report. Medical Profession Journal of Lampung, 13(5), 827-831. https://doi.org/10.53089/medula.v13i5.785




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