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Childhood tetanus: with particular reference to Nigeria.

SUMMARYTetanus in children is discussed with particular reference to Nigeria. The discussion is based largely on personal experience and previously unpublished analysis of 200 cases of tetanus among children admitted to the Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu, between 1976 and 1978. The incidence of tetanus in Enugu is high with a peak frequency during the neonatal period. There seems to be a sex difference with more males than females affected and the disease is more common in the dry than in the wet season. The clinical features are similar in Nigeria as in the Western Countries but most of our patients report late for admission. Our management is simple and essentially supportive. There is a lack of a system of grading severity of this disease and the system proposed by R. G. Hendrickse is recommended for general acceptance. Mortality rate is extremely high and such features as short incubation period, onset interval of less than 48 hours and frequent severe spasms...