ON
TETANUS.
By
C. Macnamaba.
(Continued from page 6.) Tiie
following record of cases lately under my care in tho Hospital have been kept and kindly reported for uso
Chandnie
my Assistant Mokudar Churn Sen. No. 19.? Kanyee, aged 24 years, was admitted into hospital on the 1st of April, 1872, with idiopathic tetanus of eight days' stand-
by
ing. On admission, he suffered from great rigidity of the muscles of abdomen, face and neck, but the extremities were pretty free, He so that he could walk a few pace3 without much trouble. could only open his mouth to the extent of three-fourths of an 'The tetanic fits were not very severe ; temperature, 99 ; pulse, 100 ?, respiration, 22. Ordered:?Hydrate of chloral 3ii stat. Milk and eggs every four hours; brandy siii in the day, besides his usual food (rice, fish and vegetables). The chloi'al draught was repeated during tho night, but in a half drachm dose. On the oth day after admission, tho patient having improved, inch.
the chloral was omitted, except when troubled with fits of increased severity. The tetanic spasms entirely ceased on tha 10th of April, and he was discharged from the hospital on tha 12th. The temperature of his body never rose beyond 99,?>. No. 20.?Batoolun, aged two years, was admitted into hospital
*
126
?
THE INDIAN MEDICAL GAZETTE.
on the 3rd of April, 1872, with idiopathic tetanus of sixteen days' standing. On admission, her jaws were firmly locked together, so that she had to be fed by pouring milk between the cheek and jaws, countenance pinched ; muscles of neck extremely rigid; extremities pretty free. Tetanic fits irregular, and not Very severe. Deglutition unaffected. OrderedHydrate of chloral gr. v. morning and evening, and a free supply of pure milk. Under this plan of treatment she steadily improved, and on the 16th of April all symptoms of She was kept in hospital for tetanus had entirely passed away. a few days more, and was at length discharged on the 22nd instant. Temperature of the body never rose beyond 101*5. No. 21.?Ilani Byee, aged 45 years, was admitted into hospital on the 7th of April, 1872, with an attack of traumatic tetanus, proceeding from ulceration of the internal meatus. She was ill with disease for 15 days before admission. On admission, the following symptoms were noticed :? Countenance pinched, muscles of the neck extremely rigid ; jaws could be opened to the extent of about an inch only; no fits; deglutition unaffected. This patient used to get an increase of rigidity, and tetanic spasms of the muscles now and then, specially when the weather was very bad. OrderedHydrate of chloral 5ss. H.S.: milk every four hours besides her usual diet. Under this plan of treatment, she steadily improved, the rigidity passed off, and she was discharged from the hospital cured, on the 28th of April, 1872. Temperature of the patient did not rise at any time during her illness beyond '
102 Flit. No. 22.?Ram Deen, aged one year and six months, whs admitted into the hospital on the 9th of April, 1872, suffering from traumatic tetanus of ten days' standing. On admission, he had his jaws almost looked. The muscles of his face and neck were quite rigid ; fits severe, coming at irregular intervals, but were not easily excited by internal stimulus. Temperature, 100; pulse, 140 ; respiration, 40. Ordered:?Hydrate of chloral gr. iii., morning and evening, and milk every four hours. The fits ceased to occur on the 14th of
discharged on the 22nd. His temperature beyond 100'6. 23.?Dhununjoy, aged 50 years, was admitted on the April, 1872, with compound comminuted fracture of both of left fore^arm at its lower third. The patient was
April,
and he was
never rose
No. 4th of
bones very emaciated and weak. He was siezed with symptoms of tetanus on the 10th of April. The spasms became very violent towards the evening of that day. Ordered :?Hydrate of chloral 3ii morning and evening, milk, eggs, Leibig, and brandy giv. On the 11th, the fit3 were almost constant, could not swallow ; breathing difficult. Ordered :?Hydrate of chloral 3ii at once, to be given in milk. The fits increased, and the patient died in a fit at 12-15 p.m. Temperature of the body on the lOtli?100*4 ; on the
following
102 ; temperature after death, 102-8. No. 24.?Fullchand Baboo, aged 25 years, was admitted into the hospital on the 11th of April, 18/2, with idiopathic tetanus of twelve days' standing. On admission, he had strong almost opisthotonic tetanic fits, coming on at irregular intervals.
day,
Muscles of neck and trunk extremely rigid, face pinched; mouth could be opened to the extent of less than half an inch. The tetanic fits were excited immediately by external stimulus;
deglutition partially effected with great difficulty Ordered :?Hydrate of chloral 9ii., morning and evening. Milk every four hours; brandy ^iii. in the day. The fits entirely ceased on the 15th of April, but the rigidity of the muscles remained for some time. This passed off gradually, and he was discharged on the 9th of May, 1872. The temperature of the body rose to 104'4. No. 25.?Bumo, aged 25 years, was admitted on the 14th of
[JUNE l,
1872.
April, 1872, with idiopathic tetanus of twelve days' standing. On admission, he had rigidity of tlie entire muscular system. His jaws could only be opened to the extent of about half an inch. The muscles of neck were extremely contracted. The tetanic fits were very severe, and
minutes.
came
on
about every ten 32. Deglu-
Temperature 100, pulse 120, respiration
tition much affected.
Ordered :?Hydrate of chloral 9ii., morning and evening. Milk and eggs every four hours, sago and milk four times a day ; brandy 3m. Under this plan of treatment the patient improved, ?the fits ceased on the 22nd of April, and he was discharged on the 25th. Temperature of the body never rose beyond 100-6. No. 20.?Ockkoor, aged 40 years, was admitted on the 28th of
April, 1872, with an attack of traumatic tetanus of twentystanding. On admission, the whole muscular system His jaws could was found to be spasmodically contracted. only be opened to the extent of half an inch. The tetanic fits were very severe, coming on at irregular intervals; temperature 101, pulse 108, respiration 32 ; face pinched. Deglutition
four hours'
much interfered with.
Ordered:?Hydrate
of chloral gr, xl. stat; milk every four
hours,
sago four times ; brandy The tetanic fits continued to
was
?iii. increase,
repeated in the night.
and the chloral
draught
On the 29th, the patient was in terrible agony, the tetanic spasms being almost constant; he died of asphyxia during one of these fits. Temperature of body rose to 101 during life, and to 101-6
immediately After
death.
TETANUS.
By
C. Macnamaba.
(Continued from page 6.) Tiie
following record of cases lately under my care in tho Hospital have been kept and kindly reported for uso
Chandnie
my Assistant Mokudar Churn Sen. No. 19.? Kanyee, aged 24 years, was admitted into hospital on the 1st of April, 1872, with idiopathic tetanus of eight days' stand-
by
ing. On admission, he suffered from great rigidity of the muscles of abdomen, face and neck, but the extremities were pretty free, He so that he could walk a few pace3 without much trouble. could only open his mouth to the extent of three-fourths of an 'The tetanic fits were not very severe ; temperature, 99 ; pulse, 100 ?, respiration, 22. Ordered:?Hydrate of chloral 3ii stat. Milk and eggs every four hours; brandy siii in the day, besides his usual food (rice, fish and vegetables). The chloi'al draught was repeated during tho night, but in a half drachm dose. On the oth day after admission, tho patient having improved, inch.
the chloral was omitted, except when troubled with fits of increased severity. The tetanic spasms entirely ceased on tha 10th of April, and he was discharged from the hospital on tha 12th. The temperature of his body never rose beyond 99,?>. No. 20.?Batoolun, aged two years, was admitted into hospital
*
126
?
THE INDIAN MEDICAL GAZETTE.
on the 3rd of April, 1872, with idiopathic tetanus of sixteen days' standing. On admission, her jaws were firmly locked together, so that she had to be fed by pouring milk between the cheek and jaws, countenance pinched ; muscles of neck extremely rigid; extremities pretty free. Tetanic fits irregular, and not Very severe. Deglutition unaffected. OrderedHydrate of chloral gr. v. morning and evening, and a free supply of pure milk. Under this plan of treatment she steadily improved, and on the 16th of April all symptoms of She was kept in hospital for tetanus had entirely passed away. a few days more, and was at length discharged on the 22nd instant. Temperature of the body never rose beyond 101*5. No. 21.?Ilani Byee, aged 45 years, was admitted into hospital on the 7th of April, 1872, with an attack of traumatic tetanus, proceeding from ulceration of the internal meatus. She was ill with disease for 15 days before admission. On admission, the following symptoms were noticed :? Countenance pinched, muscles of the neck extremely rigid ; jaws could be opened to the extent of about an inch only; no fits; deglutition unaffected. This patient used to get an increase of rigidity, and tetanic spasms of the muscles now and then, specially when the weather was very bad. OrderedHydrate of chloral 5ss. H.S.: milk every four hours besides her usual diet. Under this plan of treatment, she steadily improved, the rigidity passed off, and she was discharged from the hospital cured, on the 28th of April, 1872. Temperature of the patient did not rise at any time during her illness beyond '
102 Flit. No. 22.?Ram Deen, aged one year and six months, whs admitted into the hospital on the 9th of April, 1872, suffering from traumatic tetanus of ten days' standing. On admission, he had his jaws almost looked. The muscles of his face and neck were quite rigid ; fits severe, coming at irregular intervals, but were not easily excited by internal stimulus. Temperature, 100; pulse, 140 ; respiration, 40. Ordered:?Hydrate of chloral gr. iii., morning and evening, and milk every four hours. The fits ceased to occur on the 14th of
discharged on the 22nd. His temperature beyond 100'6. 23.?Dhununjoy, aged 50 years, was admitted on the April, 1872, with compound comminuted fracture of both of left fore^arm at its lower third. The patient was
April,
and he was
never rose
No. 4th of
bones very emaciated and weak. He was siezed with symptoms of tetanus on the 10th of April. The spasms became very violent towards the evening of that day. Ordered :?Hydrate of chloral 3ii morning and evening, milk, eggs, Leibig, and brandy giv. On the 11th, the fit3 were almost constant, could not swallow ; breathing difficult. Ordered :?Hydrate of chloral 3ii at once, to be given in milk. The fits increased, and the patient died in a fit at 12-15 p.m. Temperature of the body on the lOtli?100*4 ; on the
following
102 ; temperature after death, 102-8. No. 24.?Fullchand Baboo, aged 25 years, was admitted into the hospital on the 11th of April, 18/2, with idiopathic tetanus of twelve days' standing. On admission, he had strong almost opisthotonic tetanic fits, coming on at irregular intervals.
day,
Muscles of neck and trunk extremely rigid, face pinched; mouth could be opened to the extent of less than half an inch. The tetanic fits were excited immediately by external stimulus;
deglutition partially effected with great difficulty Ordered :?Hydrate of chloral 9ii., morning and evening. Milk every four hours; brandy ^iii. in the day. The fits entirely ceased on the 15th of April, but the rigidity of the muscles remained for some time. This passed off gradually, and he was discharged on the 9th of May, 1872. The temperature of the body rose to 104'4. No. 25.?Bumo, aged 25 years, was admitted on the 14th of
[JUNE l,
1872.
April, 1872, with idiopathic tetanus of twelve days' standing. On admission, he had rigidity of tlie entire muscular system. His jaws could only be opened to the extent of about half an inch. The muscles of neck were extremely contracted. The tetanic fits were very severe, and
minutes.
came
on
about every ten 32. Deglu-
Temperature 100, pulse 120, respiration
tition much affected.
Ordered :?Hydrate of chloral 9ii., morning and evening. Milk and eggs every four hours, sago and milk four times a day ; brandy 3m. Under this plan of treatment the patient improved, ?the fits ceased on the 22nd of April, and he was discharged on the 25th. Temperature of the body never rose beyond 100-6. No. 20.?Ockkoor, aged 40 years, was admitted on the 28th of
April, 1872, with an attack of traumatic tetanus of twentystanding. On admission, the whole muscular system His jaws could was found to be spasmodically contracted. only be opened to the extent of half an inch. The tetanic fits were very severe, coming on at irregular intervals; temperature 101, pulse 108, respiration 32 ; face pinched. Deglutition
four hours'
much interfered with.
Ordered:?Hydrate
of chloral gr, xl. stat; milk every four
hours,
sago four times ; brandy The tetanic fits continued to
was
?iii. increase,
repeated in the night.
and the chloral
draught
On the 29th, the patient was in terrible agony, the tetanic spasms being almost constant; he died of asphyxia during one of these fits. Temperature of body rose to 101 during life, and to 101-6
immediately After
death.
