Intrathecal baclofen in management of a patient with very severe tetanus

Madhusudan R. Jaju; M. Goverdhan; Pavan Kumar Reddy N.; Sirisha Rao Muttavarapu; V. Chandra Sekhar; Siddharth Bandla; Srikanth Rammohan; Shashank Kumar Srivastav

doi:10.18203/2320-6012.ijrms20172487

Authors

Madhusudan R. Jaju Department of Critical Care Medicine, CARE Hospital, Nampally, Hyderabad, Telangana, India
M. Goverdhan Department of Internal Medicine, CARE Hospital, Nampally, Hyderabad, Telangana, India
Pavan Kumar Reddy N. Department of Critical Care Medicine, CARE Hospital, Nampally, Hyderabad, Telangana, India
Sirisha Rao Muttavarapu Department of Internal Medicine, CARE Hospital, Nampally, Hyderabad, Telangana, India
V. Chandra Sekhar Department of Internal Medicine, CARE Hospital, Nampally, Hyderabad, Telangana, India
Siddharth Bandla Department of Anesthesiology, Critical Care Medicine, CARE Hospital, Nampally, Hyderabad, Telangana, India
Srikanth Rammohan Department of Internal Medicine, CARE Hospital, Nampally, Hyderabad, Telangana, India
Shashank Kumar Srivastav Department of Critical Care Medicine, CARE Hospital, Nampally, Hyderabad, Telangana, India http://orcid.org/0000-0001-6174-9590

DOI:

https://doi.org/10.18203/2320-6012.ijrms20172487

Keywords:

Autonomic instability, Intrathecal baclofen, Very severe tetanus

Abstract

Tetanus is uncommon in developed countries. The majority of tetanus cases occur in third world countries and 50% of these cases occur in neonates. There are more than 800,000 deaths due to tetanus each year in the world. We present a case of 40-year-old male patient diagnosed to have very severe tetanus - Grade IV as per Ablett classification of severity, managed in our hospital with aggressive treatment for 27-days and use of intrathecal baclofen he showed drastic improvement in this status. He was discharged in neurological intact conditions with hemodynamic stability.

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