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November 9, 1889

Tetanus Caused by Intestinal Irritation.

JAMA. 1889;XIII(19):684-685. doi:10.1001/jama.1889.02401150034013

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To the Editor:  — Whilst looking over The Journal of September 7, 1889, I noticed a letter from P. B. P., of New York, giving a synopsis of a paper on "Tetany in Infancy and Early Childhood," read by Dr. J. Lewis Smith at the last meeting of the New York County Medical Association, which alleged that there is no recorded instance in which lumbrice or ascarides caused tetanic contractions: but Gowers refers to three cases caused by tapeworms. This statement of Dr. Smith's brings to my mind the case of Sarah Shelton (colored), aged 12 years, which occurred in my practice a few years since. I was summoned during the month of February to see this patient, who was suffering with the most violent attack of tetanus that I had ever seen. I found her resting upon her head and heels in a state of complete opisthotonos, with the

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