Many interesting and unusual causative factors of tetanus are discussed in the literature. Tetanus due to the use of injected gelatinized serum as a hemostatic agent was reported by Chauffard (18 cases) and Dieulafoy (5 cases) in 1909 to the Académie de Médecine of Paris and was extensively discussed by Dieulafoy in his classic "Textbook of Medicine" in 1911. Reports of other unusual cases can be found in the literature, such as a case of tetanus, reported by Tudor, that developed as a result of a foreign body in the nose, and the now very rare cases in newborn infants. The purpose of this paper is to call attention to another problem in the development of tetanus that has received very little attention, namely, its occurrence in heroin addicts. It is a problem of prophylaxis and of treatment, a problem with many social implications.
Many reports can be found in
Levinson A, Marske RL, Shein MK. TETANUS IN HEROIN ADDICTS. JAMA. 1955;157(8):658-660. doi:10.1001/jama.1955.02950250032009