{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:13:50Z","timestamp":1753877630806,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T00:00:00Z","timestamp":1664236800000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>In low-income countries tetanus is a major public health concern owing to a low immunization coverage and unclean birth practices. Although it is a vaccine-preventable disease, tetanus can be contracted across the life course. The disease is prevalent and harmful in newborn babies and their mothers when the mothers` are unvaccinated against tetanus. We report on a case of a 12-year-old girl who presented with general malaise, anorexia, dysphagia, trismus and dehydration, which rapidly developed into severe generalized tetanus and was successfully managed in a low-resource setting without the availability of human anti-tetanus immunoglobulins.<\/jats:p>","DOI":"10.1093\/omcr\/omac098","type":"journal-article","created":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T16:17:00Z","timestamp":1664295420000},"source":"Crossref","is-referenced-by-count":1,"title":["Successful management of generalized tetanus in a 12-year old girl without anti-tetanus immunoglobulins: a case report"],"prefix":"10.1093","volume":"2022","author":[{"given":"Arlindo","family":"Muhelo","sequence":"first","affiliation":[{"name":"Central Hospital of Beira Department of Paediatry, , Beira, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahivaldino","family":"Zita","sequence":"additional","affiliation":[{"name":"Central Hospital of Beira Department of Paediatry, , Beira, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Seni","sequence":"additional","affiliation":[{"name":"Central Hospital of Beira Department of Paediatry, , Beira, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danys Alvarez","family":"Arzuaga","sequence":"additional","affiliation":[{"name":"Central Hospital of Beira Department of Paediatry, , Beira, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Smith","sequence":"additional","affiliation":[{"name":"Performance, and Wellbeing, Anglia Ruskin University Centre for Health, , Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4122-0774","authenticated-orcid":false,"given":"Damiano","family":"Pizzol","sequence":"additional","affiliation":[{"name":"Operative Research Unit, Doctors with Africa Cuamm , Beira, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmin Al","family":"Naber","sequence":"additional","affiliation":[{"name":"St John and Paul Hospital Department of Child Health, , Venice, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,9,26]]},"reference":[{"volume-title":"Tetanus","author":"WHO","key":"2022092713212023900_ref1"},{"key":"2022092713212023900_ref2","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1016\/S0140-6736(18)33131-3","article-title":"Tetanus","volume":"393","author":"Yen","year":"2019","journal-title":"Lancet"},{"key":"2022092713212023900_ref3","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1093\/bja\/87.3.477","article-title":"Tetanus: a review of the literature","volume":"87","author":"Cook","year":"2001","journal-title":"Br J 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