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June 1, 1940

TETANUS: SECOND ATTACK WITH RECOVERYREPORT OF CASE AND REVIEW OF LITERATURE

JAMA. 1940;114(22):2198-2199. doi:10.1001/jama.1940.62810220003006b
Abstract

This is the report of a case in which a second attack of tetanus occurred approximately three and one-half years after a boy had been successfully treated and had completely recovered from one attack.

The method of management as instituted during the first attack has been described1 and since 1935 has proved successful in 100 cases of tetanus, with a gross fatality rate of 29 per cent. If the deaths occurring within the first twenty-four hours after admission to the hospital are excluded, a net fatality rate of approximately 19 per cent has been achieved, one of the lowest in medical literature.

FIRST ADMISSION2 

History.—  J. Z., a Mexican boy aged 5 years, admitted to the communicable disease unit of the county hospital on Jan. 24, 1936, had been ill two days with inability to open his mouth, irritability and, on the least noise, a stiffness and jerking

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