Hassan Mumtaz, Nahdia Zaman, Anam Zafar, Tariq Saeed, Shahzaib Ahmad.
EAR PIERCING: a GATEWAY TO TETANUS.
Pak Armed Forces Med J Jan ;72(2):725-26.

Tetanus is initiated by the release of neurotoxins. The progressive paralysis of several muscles is due to contamination of the wound by the toxin. The case under discussion was about a patient with the tetanus infection after ear piercing due to unsterilized instruments and lack of awareness of complications. Due to the late presentation to the hospital, leading to a delay in treatment, the child could not survive. Physicians need to have a vigilant eye to have a high suspicion for tetanus at a very early stage and immediate initiation of advanced critical care, which can favour lifesaving interventions. Prophylactic tetanus toxoid should be administered before any body piercing

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