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April 30, 1932


Author Affiliations

Roanoke, Va.

JAMA. 1932;98(18):1546-1548. doi:10.1001/jama.1932.27320440002007a

Otogenous tetanus has been reported rather frequently, but with one exception we have been unable to find a case reported, complicating an infection, not associated with an injury or a foreign body. The fact that practically all the reported cases are by foreign authors indicates that otogenous tetanus is extremely rare in America, or has been overlooked, or at least has not been reported. The following case of clinical generalized tetanus complicating a recurrent purulent otitis media with recovery of Bacillus tetani from the middle ear is presented as of interest, in diagnosis, that the middle ear may be the primary focus of a generalized tetanus, and an exact duplicate has not been found in the literature.


History.  —A white girl, aged 3 years, was the third child in a family of four living children, one twin of the second pregnancy having died shortly after birth. The