July 1972

Tetanus From Tympanomastoiditis

Author Affiliations

Da Nang, South Vietnam
From the Department of Surgery, Naval Support Activity Hospital, Da Nang, South Vietnam. Dr. Black is currently at the University of Florida, Gainesville, and Capt Atkins is currently at the Naval Hospital, Oakland, Calif.

Arch Otolaryngol. 1972;96(1):76-80. doi:10.1001/archotol.1972.00770090114017

Otogenic tetanus is rare in the United States but occurs much more frequently in children of tropical countries. Reported mortality rates are lower than for tetanus from more common sites. However, treatment rationale and regimens should remain basically the same regardless of the anatomic location of toxin production. Tetanus must be included in the differential diagnosis for a patient presenting with otitis and muscle spasm, particularly trismus.