I have seen in a practice of over twenty-six years eight cases of "Trismus Neonatorum;" of these six have been fatal in their termination, two have recovered.
I believe it to be of parasitic origin, the microorganism most likely a "coccus." I do not say that it never occurs in the lying-in room of the cleanly with proper aseptic surroundings, but know that in all the cases I have seen the environment has been one of filth and squalor. My experience shows that more cases occur among the negroes than among the whites. Of the eight cases seen seven were negro children and one white child.
In the six fatal cases I resorted to the usual remedies: Calabar and chloral hydrate internally, chloroform by inhalation, ice to spine, Marion Sims' procedure of manipulation of occipital and parietal bones to relieve pressure upon medulla oblongata or cerebellum, but all of no