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JAMA. 1896;XXVII(26):1339-1340. doi:10.1001/jama.1896.02431040021001e.
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August 2, I was asked to see a boy suffering with a sore neck and back, which his father regarded as being myalgic in nature. On arriving at the bedside at 10 A. M. my attention was at first attracted to a sore foot protruding from beneath the bedclothes. On inspection the wound proved to be an ugly laceration on the sole, over the base of the fifth metatarsal bone, which was carefully sealed up with court plaster, care being taken that none of the pus should escape. I at once tore off the plaster and pushed my thumb deeply through the foul wound, preparatory to sterilization. While scraping out the wound with my thumb the boy, to my surprise, suddenly assumed the position of opisthotonos, no part of the body touching the bed except his heels and the back of the head, the body being arched almost to the extent


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