Dergiler / Turkish Journal of Pediatrics / 2019 / Cilt: 61 - Sayı: 1

Intrathecal baclofen use in the management of tetanus related spasm: A case report

Sayfa
126–129
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

In this manuscript, wepresent a 12-years-old case diagnosed with tetanus and treated with ITB uponobservation of spasms refractory to high dose sedation and muscle relaxants.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Tetanus is an infectious disease of the central nervous system with highmortality rates characterized with respiratory distress and tonic muscle spasms.The most common cause of mortality is cardiovascular complications (40%)and respiratory distress (15%).
📊
Temel Bulgular & Veri:Despite vaccination programs, tetanus remainsto be a significant healthcare issue in developing nations.
💡
Sonuç & Katkı:In this manuscript, wepresent a 12-years-old case diagnosed with tetanus and treated with ITB uponobservation of spasms refractory to high dose sedation and muscle relaxants.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Tetanus is an infectious disease of the central nervous system with highmortality rates characterized with respiratory distress and tonic muscle spasms.The most common cause of mortality is cardiovascular complications (40%)and respiratory distress (15%). Despite vaccination programs, tetanus remainsto be a significant healthcare issue in developing nations. Prolonged sedationand administration of muscle relaxants prolongs the period on mechanicalventilation and duration of hospitalization in severe tetanus cases. However,intrathecal baclofen (ITB) therapy might shorten the duration of stay atintensive care units, improve patient outcomes, and constitute a treatmentoption alternative to paralytic agents and sedation. In this manuscript, wepresent a 12-years-old case diagnosed with tetanus and treated with ITB uponobservation of spasms refractory to high dose sedation and muscle relaxants.

🔖

Bu Makaleye Atıf Yap

ŞIK, G., AYDOSELİ, A., ÇITAK, A. (2019). Intrathecal baclofen use in the management of tetanus related spasm: A case report. Turkish Journal of Pediatrics, Cilt: 61 - Sayı: 1, 126–129. https://ajindex.com/articles/412039

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (14)

  1. Brook I.Current concepts in the management of Clostridium tetani infection. Expert Rev Anti Infect Ther 2008; 6: 327-336
  2. Parrar JJ, Yen LM, Cook T et al. Tetanus. J Neurol Neurosurg Psychiatry 2000; 69: 292-301
  3. Reddy P, Bleck TP. Clostridium tetani (tetanus). In: Mandell GL Bennett JE. Dolin R (eds.). Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases (7th ed). Philadelphia, PA: Churchill Livingstone Elsevier, 2010: 3091–3096
  4. Ceneviva GD, Thomas NJ, Kees-Folts D. Magnesium sulfate for control of muscle rigidity and spasms and avoidance of mechanical ventilation in pediatric tetanus. Pediatr Crit Care Med 2003; 4: 480-484
  5. Galazka A, Birmingham M, Kurian M, Gasse FL. Chapter 6: Tetanus. In: Murray CJL, Lopez AD, Mathers CD (eds.). The Global Epidemiology of Infectious Diseases. Geneva: World Health Organization, 2004: 151-199
  6. Tiwari T, Clark TA, Messonnier NE, Thomas CG. Tetanus surveillance-United States, 2001-2008. MMWR Morb Mortal Wkly Rep 2011; 60: 365-367
  7. Trujillo M.H, Castillo A, España J, Manzo A, Zerpa R. Impact of intensive care management on the prognosis of tetanus. Analysis of 641 cases. Chest 1987; 92: 63-65
  8. Centers for Disease Control and Prevention. Tetanus: Epidemiology and Prevention of Vaccine-Preventable Diseases. Available at: http://www.cdc.gov/vaccines/ pubs/pinkbook/tetanus.html. Accessed, 2012
  9. American Academy of Pediatrics. Tetanus (lockjaw). In: Pickering L (ed.). Red Book: 2009 Report of the Committee on Infectious Diseases (28th ed). Available at: http://aapredbook.aappublications.org.laneproxy. stanford.edu/cgi/content/full/2009/1/3.132. Accessed, 2012
  10. Santos ML, Mota-Miranda A, Alves–Pereira A, Gomes A, Correia J, Marçal N. Intrathecal baclofen for the treatment of tetanus. Clin Infect Dis 2004; 38: 321-328
  11. Engrand N, Guerot E, Rouamba A, Vilain G. The efficacy of intrathecal baclofen in severe tetanus. Anesthesiology 1999; 90: 1773-1776
  12. Boots RJ, Lıpman J, Callaghan J, Scott P, Fraser J. The treatment of tetanus with intrathecal baclofen. Anesth Intensive Care 2000; 28: 438-442
  13. Phillips MM, Miljkovic N, Ramos-Lamboy M, et al. Clinical experience with continuous intrathecal baclofen trials prior to pump implantation. PM R 2015; 7: 1052-1058
  14. Berman MC, Eppinger MA, Mazzola CA. Understanding the reasons for delayed referral for intrathecal baclofen therapy in pediatric patients with severe spasticity. Childs Nerv Syst 2015; 31: 405-413