Iranian Journal of Child Neurology

Abstract

How to Cite This Article: Islami Z, Ataee Nakhaei MH. Neurological Manifestations of An Old Disease: A Case Report. Iran J Child Neurol. 2013 Summer; 7(3): 55-57.

Objective
Neurological manifestations of neonatal disorders have various causes, among them neonatal tetanus, albeit rare, is a potentially fatal and preventable disease, which is seen in underdeveloped and developing countries. Although the
disease has been eradicated from I.R. Iran, pregnant women immigrating to Iran from neighboring countries, especially from eastern border, may carry a risk of neonatal tetanus to the child due to inadequate tetanus immunization and inappropriate post-delivery care. It is then important to maintain a high index of suspicion for early diagnosis and prompt treatment, when infants present with poor feeding and abnormal behavior.
Case presentation Here, we report the clinical course of a newborn with neonatal tetanus, who was admitted with complaints of poor feeding and muscle rigidity, more than a decade after eradication of the disorder.

References

1. WHO. Immunization, Vaccines and Biologicals. Available
from: http://www.who.int/immunization/topics/tetanus/
en/; 2008 [Access 25.10.2011].
2. Lum SH, Chew MF. Neonatal Tetanus: A Study of Five Cases in Sandakan, Sabah. Med J Malaysia 2009;64(1):80-2.
3. Ilic M, Pejcic L, Tiodorovic B, Hasani B, Stankovic S, Milojevic D, et al. Neonatal tetanus – report of a case. Turk J pediatr 2010;52:404-8.
4. Chang SC, Wang CL. Neonatal tetanus after home delivery:
report of one case. Pediatr Neonatol 2010;51(3):182-5.
5. Cook TM, Protheroe RT, Handel JM. Tetanus: a review of
the literature. Br J Anaesth 2001;87(3):477-87.
6. Richard F. Edlich, MD, PhD, Lisa G. Hill, Chandra A.
Mahler, et al. Management and Prevention of Tetanus.
Long Term Eff Med Implants 2003;13(3)139–54.
7. Ministry of Health and Medical Education. Pediatric
immunization. Available from: http://behdasht.gov.ir/
index.aspx?siteid=1&pageid=24979&newsvie=11776&
pro=nobak;2011 [Access 28.10.2011].
8. S. Beheshti MD, A. Khajehdehi MD, G-R. Rezaian MD,
P. Khajehdehi MD. CURRENT STATUS OF TETANUS IN IRAN. Arch Iranian Med 2002;5(4):216-18.

9. World Health Organization. WHO-Recommended standards for surveillance of selected vaccinepreventable diseases. Available from: http://www.who.int/vaccines-documents/DocsPDF06/843.pdfdate; 2003[Access 25.10.2011].
10. World Health Organization. Immunization surveillance,
assessment and monitoring. Available from: http://www.
who.int/immunization _ monitoring/ diseases/ MNTE_
initiative/en/index.html; 2011 [Access 25.10.2011].