EC Paediatrics

Case Series Volume 14 Issue 7 - 2025

Tetanus, a Forgotten Disease. Description of Two Cases in Pediatric Patients and Literature Review

González Heredia Carlos Alonso1, Juárez Reyes Ivonne2, Meza Luna Ariadna Marisol3, Espinosa Almazo Rocio Lizzette4, Luna Madrid Patricia5 and Martínez Tovilla Yaneth6*

1Pediatric Resident Physician, Hospital para el Niño Poblano - IMSS Bienestar, Puebla, Puebla, México
2Specialist Physician in Pediatric Infectious Diseases, Department of Infectious Diseases, Hospital para el Niño Poblano, IMSS Bienestar, Puebla, Puebla, México
3Pediatric Resident Physician, Hospital para el Niño Poblano - IMSS Bienestar, Puebla, Puebla, México
4Medical Graduate in Social Service, Physician, Universidad Popular Autónoma del Estado de Puebla, Puebla, Puebla, México
5Medical Graduate in Social Service, Physician, Surgeon, and Midwife, Benemérita Universidad Autónoma de Puebla, Puebla, Puebla, México
6Specialist Physician in Pediatric Critical Care Medicine, Doctor in Education, Research Professor at FMBUAP, Head of Teaching and Research, Hospital para el Niño Poblano, IMSS Bienestar, Puebla, Puebla, México

*Corresponding Author: Yaneth Martínez Tovilla, Research Professor at FMBUAP, Head of Teaching and Research, Hospital para el Niño Poblano, IMSS Bienestar. Blvd. del Niño Poblano 5307, San Andrés Cholula, Puebla, Mexico.
Received: May 28, 2025; Published: June 11, 2025



Tetanus is an infectious disease caused by the bacterium Clostridium tetani. In México, a significant decline in vaccination coverage has been observed in recent years, reflected by a rise in reported cases.

This upward trend highlights the urgent need to raise awareness among the general population regarding the importance of prevention through timely immunization.

 Keywords: Tetanus; Muscle Spasms; Vaccination; Prevention; Infection

  1. Mongua-Rodríguez N., et al. “Cobertura de vacunación en niños, niñas y adolescentes en México”. Salud Pública de México1 (2023): s23-s33.
  2. Deniz M and Erat T. “Generalized tetanus: a pediatric case report and literature review”. Revista Do Instituto de Medicina Tropical de São Paulo 65 (2023): e40.
  3. Ryan KJ., et al. “Ryan & Sherris medical microbiology”. McGraw-Hill Education/Medical (2022).
  4. American Academy of Pediatrics. “Tetanus”. Red Book 2021: Report of the Committee on Infectious Diseases. Itasca, IL: American Academy of Pediatrics (2021).
  5. Megighian Aram., et al. “Tetanus and tetanus neurotoxin: From peripheral uptake to central nervous tissue targets”. Journal of Neurochemistry6 (2021): 1244-1253.
  6. Secretaría de Salud. “Histórico Boletín Epidemiológico” (2024).
  7. Hernández-García M., et al. “Tétanos infantil”. Revista Mexicana de Pediatría5 (2023): 187-190.
  8. Caro-Lozano J and Zúñiga-Carrasco IR. “Tétanos una enfermedad reemergente”. Revista Medica Sinergia 8 (2024): e1168.
  9. Yen L and Thwaites CL. “Tetanus”. The Lancet10181 (2019): 1657-1668.
  10. Robinson AL and Andriatahina TN. “Tétanos neonatal”. EMC-Pediatría3 (2021): 1-7.
  11. Rhinesmith E and Fu L. “Tetanus disease, treatment, management”. Pediatrics in Review8 (2018): 430-432.
  12. Niu K-Y and Lin Y-K. “Generalized tetanus”. Canadian Medical Association Journal34 (2019): E944.
  13. Fields B., et al. “Don’t Be a Stiff”. Advanced Emergency Nursing Journal1 (2021): 10-20.
  14. Berkowitz AL. “Tetanus, botulism, and diphtheria”. Continuum Lifelong Learning in Neurology5 (2018): 1459-1488.
  15. Secretaría de Salud. “Manual de Vacunación. México”. Gobierno de México (2021).
  16. “Chapter 21: Tetanus”. Epidemiology and Prevention of Vaccine-Preventable Diseases (2024).

Martínez Tovilla Yaneth., et al. "Tetanus, a Forgotten Disease. Description of Two Cases in Pediatric Patients and Literature Review". EC Paediatrics 14.7 (2025): 01-08.