RT Journal Article T1 Severe Generalized Tetanus in a Chimpanzee (Pan troglodytes) Under Human Care: A Case Report from the Republic of Congo A1 Fuertes Recuero, Manuel A1 De Pablo Moreno, Juan Andrés A1 Revuelta Rueda, Luis A1 Cox, Debby A1 Debenham, John A1 Morón Elorza, Pablo A1 De Pablo Moreno, Javier Maria A1 Atencia Fernández, Rebeca De La Trinidad AB Tetanus is a life-threatening neurological disease affecting vertebrate species, including primates. Here, we present a case of severe generalized tetanus in a juvenile male chimpanzee (Pan troglodytes) that was rescued from the illegal wildlife trade and admitted to a rehabilitation center in the Republic of Congo. Upon arrival, the chimpanzee presented with deep, contaminated constrictive wounds, trismus, generalized rigidity, and stimulus-induced tonic spasms accompanied by transient apnea, while remaining conscious. A presumptive clinical diagnosis was made, after which integrated care began immediately. This included meticulous wound debridement and irrigation, passive immunization with antitoxin, initiation of active immunization, metronidazole with adjunctive penicillin G, diazepam-based spasm control, multimodal analgesia, and low-stimulation nursing with oxygen supplementation, enteral nutrition, and temporary urinary catheterization. Aerobic wound culture yielded mixed flora, and a Gram stain of the feces showed large Gram-positive rods with terminal spores. Hematology tests revealed leucopenia with neutropenia and severe thrombocytopenia. The spasms ceased by day 5, at which point the diazepam dose was reduced and oral intake was increased. By week 8, he had made a full clinical recovery and was successfully reintegrated into his group. This case supports the use of pragmatic, sanctuary-adapted protocols and systematic vaccination. PB MDPI YR 2025 FD 2025 LK https://hdl.handle.net/20.500.14352/129653 UL https://hdl.handle.net/20.500.14352/129653 LA eng NO Fuertes-Recuero, M., De Pablo-Moreno, J. A., Revuelta, L., Cox, D., Debenham, J., Morón-Elorza, P., De Pablo-Moreno, J. M., & Atencia, R. (2026). Severe Generalized Tetanus in a Chimpanzee (Pan troglodytes) Under Human Care: A Case Report from the Republic of Congo. Veterinary Sciences, 13(1), 13. https://doi.org/10.3390/vetsci13010013 NO Justificación de autores:Conceptualization, software, validation, formal analysis, investigation, M.F.-R., J.A.D.P.-M., D.C., J.D., P.M.-E., J.M.D.P.-M., L.R. and R.A.; methodology, M.F.-R., J.A.D.P.-M., D.C., J.D., L.R. and R.A.; writing—original draft preparation, M.F.-R., J.A.D.P.-M., D.C. and J.D.; writing—review and editing, L.R., P.M.-E. and R.A.; visualization, R.A.; supervision, L.R. and R.A.; project administration, L.R. and R.A.; funding acquisition, M.F.-R., J.A.D.P.-M., D.C., J.D., L.R., P.M.-E., J.A.D.P.-M. and R.A. All authors have read and agreed to the published version of the manuscript. DS Docta Complutense RD 17 mar 2026