TéTANO GRAVE ASSOCIADO A CHOQUE SéPTICO EM UMA PACIENTE IDOSA INTERNADA EM UNIDADE DE TERAPIA INTENSIVA

we report a case of severe tetanus associated with septic shock in a 61-year-old female admitted to the intensive care unit (icu) after perforating injury in the right foot. the patient presented with loss of muscle strength, paresis in the right lower limb and dysphagia. the patient’s conditions worsened, progressing to generalized muscle spasms, dyspnea, and respiratory failure. intense spasm made the prolonged use of invasive mechanical ventilation, sedation, and neuromuscular blockers necessary. the favorable outcome in the present case is probably related to advances in icu management and well-trained medical and nursing staff.