Abstract
Tetanusremainsacommoninfectioninthepoor,developingcountriesoftheworldwhereitsmortalityisstillhigh.Intensivecareunit(ICU)facilities,notreadilyavail-ableinthosecountries,arerequiredinseveretetanusforafavourableoutcome.Theobjectiveofthisreportistodrawattentiontoanuncommonsourceoftetanusveryunlikelytobecoveredbytheexistingmaternal-childvaccinationprogramme.AcaseoftetanusinayoungwomanwhohadinducedabortionwasseenandmanagedinAbiaStateUniversityTeachingHospital,(ABSUTH),Aba.Thepatientdiedlessthan48hoursofhospitalization,promptingthisreviewofrecentadvancesinmanagementoftetanus.Inconclusion,becauseofsomeuncommonandtrivialsourcesoftetanus,expensiveandscarcemedicationsforneutralizingtetanustoxins,availabilityofcheapandef-fectivevaccine,highmortalityassociatedwithseveretetanusandthedireneedforICUfacilitiesinseverecases,oneisconstrainedtoadvocateforuniversaltetanusimmunizationwithboosterdosesastheneedarises