A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . times is explained byits bacterial causation. Tetanus of the newborn child is due to infec-tion of the stump of the umbilical cord. The bacillus of tetanus is an anaerobe, that is, grows without oxy-gen ; and has spores developed at one end. In the spore-forming stagethe micro-organism resembles a tack or nail. Symptoms.—The time of appearance of tetanus is usually from fiveto ten days after the receipt of the injury ; though th
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . times is explained byits bacterial causation. Tetanus of the newborn child is due to infec-tion of the stump of the umbilical cord. The bacillus of tetanus is an anaerobe, that is, grows without oxy-gen ; and has spores developed at one end. In the spore-forming stagethe micro-organism resembles a tack or nail. Symptoms.—The time of appearance of tetanus is usually from fiveto ten days after the receipt of the injury ; though the initiatory symp-toms may be exhibited in a few hours, or delayed until several weekshave elapsed. The early cases are apt to be more acute in their prog-ress, violent in symptoms, and fatal in prognosis. Digestive disordersor general and indefinite uneasiness may perhaps be observed or possi-bly the wound may become dry and unhealthy before the character-istics of tetanus are developed. In many instances, however, nothingunusual attracts attention, until stiffness and pain in the muscles ofmastication or pain in the epigastrium proclaim the advent of this5. Tetanus bacill iwiug spore-formation.(Kitasato.) 66 TRAUMATIC FEVERS. serious complication. The patient may ascribe the early difficulty inswallowing to a sore throat. It is rarely that the muscular spasmshows itself primarily in the wounded limb. Pain in the epigastrium,from spasm of the diaphragm, or painful rigidity of the muscles thatclose the mouth or of those at the back of the neck is the usual in-itiatory symptom. The muscles thus primarily affected are those sup-plied by the motor branch of the trifacial, the facial, and the spinalaccessory nerves. The muscular spasm is continuous, or tonic, thoughthere are occasional clonic paroxysms of increased contraction. Thecontraction is exceedingly powerful. The voluntary muscles, exceptthose of the hands, feet, eyeball, and tongue, generally become rigidsoon after the i
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