Prev. 100Tester2 Testere1 Testif1 Testimony1 Testudinata1 Tetanus2Tetbury Portion1 Tête2 Te-tealte1 tête-à-tête1 Tethys1 Teton Canyon1 Teton Range1 Tetrode Working1 Teucer1 Teut.1 Teutonic1 Teuz-a-pouliet1 Teviss1 Tewelle1 Tewkesbury Abbey1 Tex.1 Texas1 Texte1 Textile Manufacturing1 Textuel1 Teye1 Teyne1 Teyrre1 Teyse1 Teyte1 Teð1 Th1 Th.1 Thailand9 Thalia1 Thames3 Thames Embankment1 Thames Tunnel1 Than1 Than him1 Than me2 Than whom1 Thangbrand1 Thanks1 That3 That there1 Thatch1 Thatcham1 Thatch-gallows1 That’s him1 The1 The Aethiop1 The Age of Progress1 The Angel1 The Angler and the Little Fish2 The Angry Bobolink1 The Animals and the Plague1 The Animals Sick With the Plague1 The Ant1 The Ant and the Dove2 The Ant and the Fly1 The Ant and the Grasshopper3 The Ants and the Grasshopper3 The Ant’s House1 The Ape and Her Young Ones1 The Ape and the Fox1 The Apes and the Two Travelers1 The Apes and the Two Travellers1 The Archer and the Lion1 The Ass and His Burdens1 The Ass and His Driver4 The Ass and His Masters2 The Ass and his Purchaser3 The Ass and his Shadow3 The Ass and Its Shadow1 The Ass and the Charger2 The Ass and the Dog1 The Ass and the Enemy1 The Ass and the Frogs1 The Ass and the Grasshopper2 The Ass and the Grasshoppers1 The Ass and the Horse1 The Ass and the Lap Dog2 The Ass and the Lapdog2 The Ass and the Lap-Dog2 The Ass and the Lion1 The Ass and the Little Dog1 The Ass and the Load of Salt1 The Ass and the Mule2 The Ass and the Old Peasant1 The Ass and the Old Shepherd1 The Ass and the Sick Lion1 The Ass and the Wolf3 The Ass Carrying Salt1 The Ass Carrying the Image4 The Ass Eating Thistles2 The Ass in the Lion’s Skin8 The Ass in the Lion’s Skin1 The Ass, the Cock, and the Lion3 Prev. 100


tetanus. Lock jaw. A very fatal disease due to the introduction of the bacillus tetanus into the tissues.

Tetanus. Tetanus is an infectious disease, invariably preceded by some injury. The wound may have been severe or it may have been so slight as to have attracted no attention.

The disease is commonest after punctured wounds or lacerated ones of the hands or feet, and before it appears, a wound is apt to suppurate or slough, but in some instances the wound is found soundly healed.

Tetanus is due to infection by a bacillus (first described by Nicolaier, and first cultivated by Kitasato), the toxic properties of which, absorbed from the infected area, poison the nervous system precisely as would dosing with strychnine.

Symptoms. The onset is usually within nine days of an accident. At first, the neck feels stiff and there is difficulty in swallowing, and then the jaw also becomes stiff. The neck becomes like an iron bar, and the jaws are rigid as steel. If the injury is on the foot, that extremity usually is found to be rigid. Opisthotonos is present and spasms are very marked. Swallowing in many cases is impossible. The mind is entirely clear until near the end, one of the worst elements of the disease.

Treatment. Careful antisepsis will banish it. Every wound must be disinfected with the most scrupulous care. Every punctured wound is to be incised to its depth and thoroughly cleaned and drained. Large doses of the bromide of potassium, at least sixty grains, should be given every four to six hours. Tetanus antitoxin should be given (5000 units), and repeated in twenty-four hours if no improvement is seen. Recently a saturated solution of magnesium sulphate has been given intraspinally, with very good results. In all suspicious cases, a prophylatic injection of tetanus antitoxin is to be recommended (1000 units).