Abstract | BACKGROUND: METHODS: We describe 2 cases of patients with methamphetamine use disorder who were diagnosed with severe tetanus and our experience in the use of rocuronium to control their spasms. We performed a systematic review of the SCOPUS and PubMed databases for case reports and case series describing the use of rocuronium in tetanus patients who also have methamphetamine use disorder. We discussed the clinical features and treatment outcomes. RESULTS: A total of 4 cases of patients with substance abuse disorder who had severe tetanus were reported in the literature, including the current cases. The mean age was 28.8 years; all of them male. Trismus, generalized limb and abdominal rigidity were the most common presentation. Three patients underwent emergency tracheostomy. Rocuronium was given as 0.008mg/kg bolus in 1 patient; 2 patients received an intravenous bolus dose of 0.6mg/kg. Infusion dose ranged from 5 to 10 mcg/kg/min. Spasms were controlled within 24-48 hours after giving rocuronium in 3 out of 4 patients. One patient died from complications of dysautonomia and immobility. CONCLUSION:
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Authors | Robert Joseph Cruz Sarmiento, Clare Angeli G Enriquez, Francis Gerwin Jalipa, Bernadeth Lyn Piamonte, Jose Danilo Diestro, Carissa Paz Dioquino, Alberto Goffi, Roland Dominic G Jamora |
Journal | The Neurohospitalist
(Neurohospitalist)
Vol. 12
Issue 1
Pg. 121-126
(Jan 2022)
ISSN: 1941-8744 [Print] United States |
PMID | 34950399
(Publication Type: Case Reports)
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Copyright | © The Author(s) 2021. |