{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T21:59:55Z","timestamp":1767909595986,"version":"3.49.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["jpalliativecare.com"],"crossmark-restriction":true},"short-container-title":["IJPC"],"abstract":"<jats:p>Tetanus in patients with malignant wounds can be fatal. We report a case of a patient with carcinoma of the breast, with a malignant wound. She had applied native medication and approached us for pain management. She developed typical features of tetanus which despite prompt detection and management by the palliative care team, turned fatal. We further discuss the need to keep the possibility of the diagnosis in mind, educate the caregivers to be aware of the possibility of a toxic infection like tetanus that can occur in patients with open wounds, ascertain the immunisation status if possible and conclude by reiterating the conclusions of other authors that prophylactic tetanus immunisation for those with malignant wounds could be effective in reducing the resultant morbidity-mortality.<\/jats:p>","DOI":"10.25259\/ijpc_43_21","type":"journal-article","created":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T10:55:12Z","timestamp":1630407312000},"page":"571-573","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Fatal Tetanus in a Patient with Carcinoma of the Breast \u2013 A Case Report"],"prefix":"10.25259","volume":"27","author":[{"given":"Renuka Shantharam","family":"Pai","sequence":"first","affiliation":[{"name":"Department of Pain and Palliative Medicine, St. John\u2019s National Academy of Health Sciences, Bengaluru, Karnataka,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoba Narayanan","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Pain and Palliative Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subash D.","family":"Tarey","sequence":"additional","affiliation":[{"name":"Department of Pain and Palliative Medicine, St. John\u2019s National Academy of Health Sciences, Bengaluru, Karnataka,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,8,24]]},"reference":[{"key":"10.25259\/IJPC_43_21\/ref-1","article-title":"Vaccine-Preventable Diseases: Monitoring System 2020, Global Summary","author":"World Health Organization","year":"2020"},{"key":"10.25259\/IJPC_43_21\/ref-2","doi-asserted-by":"publisher","first-page":"94","DOI":"10.3109\/02841869709100745","article-title":"Severe tetanus in a patient with ulcerating inflammatory breast carcinoma: A case report and review of management","volume":"36","author":"Toh","year":"1997","journal-title":"Acta Oncol"},{"key":"10.25259\/IJPC_43_21\/ref-3","first-page":"272","article-title":"Malignant wounds","volume":"58","author":"O'Brien","year":"2012","journal-title":"Can Fam Physician"},{"key":"10.25259\/IJPC_43_21\/ref-4","doi-asserted-by":"publisher","first-page":"1377","DOI":"10.7860\/JCDR\/2012\/4137.2363","article-title":"A ten year retrospective study on adult tetanus at the epidemic disease (ED) hospital, Mysore in Southern India: A review of 512 cases","volume":"6","author":"Marulappa","year":"2012","journal-title":"J Clin Diagn Res"},{"key":"10.25259\/IJPC_43_21\/ref-5","doi-asserted-by":"publisher","first-page":"114","DOI":"10.4038\/cmj.v52i3.975","article-title":"Locally advanced breast cancer as a possible portal of entry in a patient with tetanus","volume":"52","author":"Wijesuriya","year":"2007","journal-title":"Ceylon Med J"},{"key":"10.25259\/IJPC_43_21\/ref-6","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1111\/j.1524-4741.2007.00491.x","article-title":"Tetanus caused by ulcerated giant phyllodes tumor","volume":"13","author":"Yamashita","year":"2007","journal-title":"Breast J"},{"key":"10.25259\/IJPC_43_21\/ref-7","doi-asserted-by":"publisher","article-title":"Table 1. Recommended Adult Immunization Schedule for ages 19 Years or Older, United States","year":"2020","DOI":"10.1097\/01.JAA.0000735776.11981.1e"},{"key":"10.25259\/IJPC_43_21\/ref-8","doi-asserted-by":"publisher","first-page":"418","DOI":"10.4103\/0970-0358.101331","article-title":"Wound Care with traditional, complementary and alternative medicine","volume":"45","author":"Dorai","year":"2012","journal-title":"Indian J Plast Surg"},{"key":"10.25259\/IJPC_43_21\/ref-9","doi-asserted-by":"publisher","first-page":"273","DOI":"10.12968\/jowc.2009.18.7.43110","article-title":"Malignant fungating wound: Epidemiology, etiology, presentation and assessment","volume":"18","author":"Alexander","year":"2009","journal-title":"J Wound Care"},{"key":"10.25259\/IJPC_43_21\/ref-10","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1111\/j.1365-3156.2006.01562.x","article-title":"Predicting the clinical outcome of tetanus: The tetanus severity score","volume":"11","author":"Thwaites","year":"2006","journal-title":"Trop Med Int Health"},{"key":"10.25259\/IJPC_43_21\/ref-12","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1097\/00000658-197109000-00007","article-title":"Immunologic competence of regional lymph nodes in patients with mammary cancer","volume":"174","author":"Humphrey","year":"1971","journal-title":"Ann Surg"},{"key":"10.25259\/IJPC_43_21\/ref-13","doi-asserted-by":"publisher","first-page":"1669","DOI":"10.2105\/AJPH.52.10.1669","article-title":"Antibody response to tetanus toxoid 15 years after initial immunisation","volume":"52","author":"McCaroll","year":"1962","journal-title":"Am J Public Health Nations Health"}],"container-title":["Indian Journal of Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jpalliativecare.com\/fatal-tetanus-in-a-patient-with-carcinoma-of-the-breast-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpalliativecare.com\/fatal-tetanus-in-a-patient-with-carcinoma-of-the-breast-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T07:26:35Z","timestamp":1679297195000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpalliativecare.com\/fatal-tetanus-in-a-patient-with-carcinoma-of-the-breast-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,24]]},"references-count":12,"alternative-id":["10.25259\/IJPC_43_21"],"URL":"https:\/\/doi.org\/10.25259\/ijpc_43_21","relation":{},"ISSN":["1998-3735","0973-1075"],"issn-type":[{"value":"1998-3735","type":"electronic"},{"value":"0973-1075","type":"print"}],"subject":[],"published":{"date-parts":[[2021,8,24]]},"article-number":"571"}}