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REPORT OF FURTHER CASES FROM THE MASSACHUSETTS GENERAL HOSPITAL

RICHARD H. MILLER, M.D.; HORATIO ROGERS, M.D.

J Am Med Assoc. 1935;104(3):186-191.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The prevention of tetanus has reached a substantially sound and reliable status, but the treatment in general is hardly more satisfactory than it was when Hippocrates handled the cases at the battle of Salamis, or when, centuries later, Frederick May advocated the use of infusions of tobacco by rectum. Our purpose in this paper is to add another series to the previously reported 116 cases from the Massachusetts General Hospital,¹ bringing the total to 149, and to deduce therefrom such conclusions as we may; also to review the current literature.

The modern conception of tetanus is that it is a disease caused by the toxin elaborated by the bacilli. The toxin circulates in the blood stream and is picked up by the motor nerve end plates and thence transmitted up the axis cylinders and perineural lymphatics till it reaches and becomes firmly fixed in the motor cells of the . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

Footnotes
Read before the Section on Surgery, General and Abdominal, at the Eighty-Fifth Annual Session of the American Medical Association, Cleveland, June 15, 1934.

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