Identify four distinct organ systems affected by complications of severe tetanus, and state one recognized complication associated with each system.

The complication list is broad. A suitable answer groups named examples into body systems without omitting that tetanus can be multisystem. Other listed examples include labile cardiovascular function and pressure sores. **Key takeaway:** Systematic complication surveillance helps organize assessment across several organ systems.\n\n**Glossary:** **Arrhythmia**: abnormal heart rhythm; **pressure sore**: tissue injury from sustained pressure.