Evidence map›Paper›PMID 42327674›Full record

ArticleInternational medical case reports journal2026

Rare Survival of a 9-Year-Old Boy Managed for Post-Neonatal Tetanus Without Intensive Care at Soroti Regional Referral Hospital, Uganda: A Case Report.

Amos Odiit, Fridah Akello, Tadeo Lujuna, Joseph Katende Mukiibi, Charles E Engoru, Moses Ochora

Abstract readCase Reports
In one paragraph

Article in International medical case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Amos OdiitDepartment of Paediatrics and Child Health, School of Health Sciences, Soroti University, Soroti, Uganda.
Fridah AkelloDepartment of Paediatrics and Child Health, School of Health Sciences, Soroti University, Soroti, Uganda.
Tadeo LujunaDepartment of Paediatrics and Child Health, Soroti Regional Referral Hospital, Soroti, Uganda.
Joseph Katende MukiibiDepartment of Paediatrics and Child Health, Soroti Regional Referral Hospital, Soroti, Uganda.
Charles E EngoruDepartment of Paediatrics and Child Health, School of Health Sciences, Soroti University, Soroti, Uganda.
Moses OchoraDepartment of Paediatrics and Child Health, School of Health Sciences, Soroti University, Soroti, Uganda.ORCID 0000-0002-9609-6021

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tetanus is a vaccine-preventable disease caused by neurotoxin from Case Presentation: We report a 9-year-old African boy who presented three days after a minor toe injury with generalized painful muscular spasms, trismus, and hypertonia consistent with generalized tetanus (Ablett classification- Grade 3). He neither received the tetanus vaccine during infancy nor any boosters prior to this injury. He was managed on the general paediatric ward in a dark, quiet room without access to intensive care. He was hospitalized for 25 days and his treatment included wound care, antibiotics, nasogastric feeding, bladder catheterization, and alternating sedation with diazepam and chlorpromazine. Due to limited availability, human tetanus immunoglobulin was administered 10 days after hospital admission. The child recovered and was discharged alive. Conclusion: Post-neonatal tetanus can be successfully managed in low-resource settings with strong supportive care even in the absence of intensive care services. Human tetanus immunoglobulin may still improve outcomes even when administered several days after exposure.

Indexed as

injurylow resource settingpost-neonatal tetanustetanus human immunoglobulintetanus toxoid vaccine

Identifiers

PMID42327674
PMCPMC13281855

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.