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September 14, 1907


JAMA. 1907;XLIX(11):940-941. doi:10.1001/jama.1907.25320110052003a

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Case 1.  —History.—R., a healthy boy, aged 2 years, residing with his parents on Court street, Brooklyn, stepped on an old garden rake and lacerated the web between the great and the adjoining toe of the left foot. Healing progressed under home treatment and the wound was completely closed by the tenth day, when the child was seized, in the morning, by a severe muscular spasm involving. I deduced from hearsay evidence, the muscles of the throat, face, neck and even extending down the trunk and legs. I was sent for, but, being unable to attend at once deputized a friend, who, not being told about the injury, surmised that gastrointestinal troubles were responsible and administered a dose of calomel.In the afternoon of July 16, 1907, when I called, I was informed that the mother had taken the patient out for an airing, as the severe spasms seemed to

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