Tetanus is rare in a country with a national vaccination program. When it does occur. the associated autonomic dysfunction is a challenge for physicians. We report here a case of an unvaccinated 5-year-old boy who suffered from tetanus complicated by autonomic dysfunction. https://www.spidertattooz.com/OPI-Infinite-Shine-Combo-Base-Top-Indefinitely-Baby-ISL55-p26708/