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Letters
JAMA. 1980;243(21):2156. doi: 10.1001/jama.1980.03300470018009

Otogenous Tetanus

  1. Amos S. Deinard, MD;
  2. David Dassenko, MD;
  3. Bruce Kloster, MD;
  4. Patrick Welle, MD;
  5. James Zavoral, MD
  1. Hennepin County Medical Center University of Minnesota Bureau of Maternal and Child Health Minneapolis Health Department Minneapolis

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

To the Editor.— We have recently had the opportunity to care for an 18-month-old male Hmong refugee who was hospitalized with tetanus one week after an otological examination in a health screening clinic. We believe that the manner in which he became infected is sufficiently unusual that it should be brought to the attention of the medical community in view of the escalating immigration of Indochinese refugees to this country.

Report of a Case.— The patient was seen in the screening clinic within ten days of arrival in the United States from a northern Thailand refugee camp. Immunization history indicated that he had been given an injection in the refugee camp at 10 months of age, but it could not be determined that it was a dipropyltryptamine immunization. The patient's clinical examination findings were entirely normal except that the tympanic membranes were totally obscured by cerumen. An unsuccessful attempt was

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