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The patient was a little girl, age 5; healthy, history good up to this attack. About ten days before I was called, patient had received an injury of the left thumb from stroke of hammer in cracking nuts. The nail was badly bruised; flesh at base of nail was lacerated to some extent and the nail separated from thumb at its base. The wound healed nicely under local treatment. About ten or twelve days after the injury the parents noticed a change in the child's disposition. She became irritable, would not play, slept badly, ate little and required constant attention. In a day or two these symptoms were followed by stiffness of the spinal muscles and of the muscles of the upper and lower extremities. The muscles of the face were so contracted as to give the child a peculiar expression. When I saw the patient for the first time
MUNS GE. A CASE OF TETANUS TREATED WITH ANTITETANIC SERUM; RECOVERY. JAMA. 1896;XXVII(25):1294. doi:10.1001/jama.1896.02431030030002i
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