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September 16, 1905

A FATAL CASE OF TETANUS OCCURRING WITHIN SEVENTY-TWO HOURS OF INJURY.

JAMA. 1905;XLV(12):853. doi:10.1001/jama.1905.52510120037003b

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Abstract

Patient.  —W. D. G., boy, aged 10.

History.  —On Tuesday, Aug. 15, 1905, at about 6 p. m., the boy fell from a stageing to the ground, a distance of about 8 or 10 feet, and sustained a compound fracture transversely through the lower epiphysis of the tibia, the bone ripping the soft parts and stocking for a distance of 4 inches above the site of the fracture and sticking to the ground.

Treatment.  —He was picked up and carried to his home, where the wound was cleansed thoroughly, care being taken to leave no foreign particles in it; hydrogen peroxid was used finally. The bone was replaced and the leg put in a temporary splint dressing. The subsequent treatment consisted of irrigation of the open wound and the liberal use of hydrogen peroxid.

Subsequent History.  —On Saturday, August 19, his father, who is a physician, told me the boy

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