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April 1977

Otogenous Tetanus: A Sequelae of Chronic Ear Infections

Author Affiliations

From the Infectious Disease Training Program, US Army Medical Component, Southeast Asia Treaty Organization (Maj Fischer), and the Departments of Pediatrics (Dr Sunakorn) and Pathology (Dr Duangman), Women's and Children's Hospital; Bangkok, Thailand. Maj Fischer is now with the Department of Pediatrics, Tripler Army Medical Center, Honolulu.

Am J Dis Child. 1977;131(4):445-446. doi:10.1001/archpedi.1977.02120170071014

• Eight patients had bacteriologically confirmed otogenous tetanus and all survived, suggesting that this may be a less severe form of the disease. Clostridium organisms most probably secondarily infect the purulent ear discharge after contamination by dirty cloth or fingers. Since most cases of tetanus are seen first by pediatricians or family physicians, they should be familiar with this potential source. Adequate tetanus immunization is essential for all high-risk groups predisposed to chronic otorrhea.

(Am J Dis Child 131:445-446, 1977)

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