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August 25, 1906


Author Affiliations


JAMA. 1906;XLVII(8):583. doi:10.1001/jama.1906.25210080035003b

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History.  —Infant, F., aged 10 days. Mother and child were attended by a midwife until the ninth day, when the present illness began. The mother noticed that the baby was cross and irritable and was unable to nurse, and the jaw was set.

Examination.  —Temperature, 101.5. Trismus, rigidity and retraction of the neck were marked. The navel was red and swollen, and several drops of pus were pressed out.

Treatment.  —The infected area was opened with a knife and cauterized with 95 per cent. carbolic acid. Ten cubic centimeters of antitetanic serum were administered over the sciatic nerve at the gluteal fold. Two grains of chloral hydrate and four grains of potassium bromid were given by rectum every four hours. Camphorated tincture of opium was given in five-drop doses as often as necessary to keep the baby sleeping. The child was nourished with mother's milk given with a medicine dropper,

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