A six year-old Indonesian boy attended the outpatient clinic of the Dr. Soetomo Hospital on May 30, 1995 with the main complaint of weakness manifesting in an awkward gait since 3 years. Growth and development were abnormal. His aunt had a similar illnes; his mother, father, grandmother and grandfather were healthy. Physical examination revealed : a weak boy with a body weight of 14.5 kg and a …
The Indonesian household survey in 1986 has shown that neonatal tetanus is one of the main causes of infant mortality, besides diarrhea and upper respiratory tract infection. Immunization against tetanus in pregnant women has managed to significantly reduce the morbidity, nevertheless in developing countries, the mortality from tetanus is still high, around 80-90 percent. The management of case…