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Southern African Journal of Critical Care (Online)
versão On-line ISSN 2078-676X
versão impressa ISSN 1562-8264
Resumo
MARYKE SPRUYT, G L e VAN DEN HEEVER, T. The treatment of autonomic dysfunction in tetanus. South. Afr. j. crit. care (Online) [online]. 2017, vol.33, n.1, pp.28-31. ISSN 2078-676X. http://dx.doi.org/10.7196/SAJCC.2017.v33i1.274.
We report a case of generalised tetanus in a 50-year-old female patient after sustaining a wound to her right lower leg. She developed autonomic dysfunction, which included labile hypertension alternating with hypotension and sweating. The autonomic dysfunction was treated successfully with a combination of morphine sulphate infusion, magnesium sulphate, and clonidine. She also received adrenaline and phenylephrine infusions as needed for hypotension. We then discuss the pathophysiology, clinical features and treatment options of autonomic dysfunction.