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Article
June 18, 1904

THE PROPHYLAXIS AND TREATMENT OF FOURTH OF JULY TETANUS

JAMA. 1904;XLII(25):1621-1625. doi:10.1001/jama.1904.92490700021003
Abstract

The annual epidemics of Fourth of July tetanus have shown only too plainly how ineffective are our best and most hopeful methods of treating lockjaw. While the figures for the fatality of traumatic tetanus generally quoted in text-books give 70 to 80 per cent. of deaths, yet we have every reason to believe that in the tetanus following blank cartridge wounds there are much fewer who recover. In investigating the cases of last year it seemed that not much, if any, more than 5 per cent. recovered, and this in spite of the use in many cases of antitoxin, as well as other recognized methods of treatment. This is probably in part due to the age of most of the victims, for the prognosis is much worse in children than in adults. It will be remembered by many of our readers that last year The Journal1 investigated the results of

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