The Delayed Diagnosis of Tetanus in an Elderly Patient

Tetanus is a preventable yet potentially fatal disease caused by Clostridium tetani.Although rare in developed countries, it remains a concern among the elderly and those with an incomplete vaccination history.We herein report a case of tetanus in a 76-year-old woman who sustained a head laceration after a fall and presented with non-specific initial symptoms.Despite consultation with multiple departments, the diagnosis of tetanus was delayed until the onset of trismus, dysphagia, and muscle spasms.Intensive care and appropriate therapies, including immunoglobulin, tetanus toxoid, antibiotics, and sedation were administered, resulting in full recovery.This case highlights the importance of an early diagnosis, heightened clinical awareness, and vaccination in reducing tetanus risk.