Tetanus is a rapidly progressive, life-threatening illness with the clinical hallmark of muscle spasms associated with respiratory and neurological sequelae, especially in the unimmunised population. Non-neonatal tetanus continues to be a rare diagnosis. We hereby report six cases admitted to our intensive care unit, highlighting the varied clinical features, management strategies and outcomes. Early initiation of ventilatory support, aggressive spasm control, consideration of early tracheostomy and prevention of nosocomial infections are vital for positive outcomes. Additionally, consistent supportive care by doctors and nursing staff is crucial in managing severe paediatric tetanus.
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