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Tetanus Immunisation In Hypersensitive Individuals
  1. Lt Col A N Williams, MFOM RAMC1,
  2. Lt Col J B L Kabuubi, FRCP RAMC2,
  3. Lt Col J P Owen, MFOM RAMC3 and
  4. Col J Wells, FRCGP RAMC4
  1. 1Consultant in Occupational Medicine, Army Medical Directorate, Former Army Staff College, Slim Road, Camberley, Surrey, GUI5 4NP
  2. 2Consultant Physician, MDHU(N), Friarage Hospital, Northallerton, North Yorkshire, DL6 1JG.
  3. 3Consultant in Occupational Medicine, Army Medical Directorate, Former Army Staff College, Slim Road, Camberley, Surrey, GUI5 4NP.
  4. 4Commander Medical,HQ 2Division, Craigiehall, West Lothian EH30 9TN

Abstract

We report on a case of an officer cadet who was inadvertently allowed to commence training with a history suggestive of hypersensitivity to tetanus immunisation and who, eventually, successfully underwent a graduated immunisation regimen. This case combines a search for good evidence with the extraordinary complexities of military medical management and the law. It is a lesson in all three.

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