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Journal of Tropical Pediatrics Advance Access originally published online on August 12, 2008
Journal of Tropical Pediatrics 2009 55(1):58-59; doi:10.1093/tropej/fmn066
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Reports

Intravenous Magnesium Sulphate Infusion in the Management of Very Severe Tetanus in a Child: A Descriptive Case Report

Mammen M. Puliyel, Rajappan Pillai and Sophy Korula

Department of Child Health, Christian Medical College Hospital, Vellore 632004, India

Correspondence: Dr Mammen M. Puliyel, Department of Child Health, Christian Medical College Hospital, Vellore 632004, India. E-mail <mammen.puliyel{at}gmail.com>.


   Abstract

We report a 7-year-old boy with very severe tetanus treated with continuous infusion of magnesium sulphate for the control of spasms and severe autonomic dysfunction which was refractory to deep sedation and mechanical ventilation. The infusion was not associated with any adverse effects and he made an uneventful recovery. We recommend the use of intravenous magnesium sulphate infusion as an inexpensive and highly effective modality in severe tetanus.


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