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November 19, 1904


Author Affiliations

SOUTH OMAHA; Professor of Surgery, Creighton Medical College. OMAHA.

JAMA. 1904;XLIII(21):1551. doi:10.1001/jama.1904.92500210002a

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Patient.  —F. McK., aged 10, was first seen Sept. 5, 1904.

Examination.  —His symptoms were those of tetanus and on examination we found a splinter in the bottom of the left foot. The history was that the splinter had been in the foot eight days. This was removed and tincture of iodin applied to the wound, which was suppurating slightly.

Course of the Disease.  —At this time and during the two following days the muscles of the neck, back and abdomen were rigid, respiration was difficult, moderate opisthotonos was present and he complained of pain in the head and stomach; convulsive movements appeared when he made an effort to move or talk. Two doses of anti-tetanic serum were given hypodermically and he was placed on full doses of chloral and bromids. The symptoms grew progressively worse during the first three days of our observation, when it was decided

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