RT Journal
A1 Duncan BA
T1 TEtanus caused by intestinal irritation.
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1889
FD November 9
VO XIII
IS 19
SP 684
OP 685
DO 10.1001/jama.1889.02401150034013
UL http://dx.doi.org/10.1001/jama.1889.02401150034013
AB To the Editor: 
    — Whilst looking over The Journal of September 7, 1889, I noticed a letter from P. B. P., of New York, giving a synopsis of a paper on "Tetany in Infancy and Early Childhood," read by Dr. J. Lewis Smith at the last meeting of the New York County Medical Association, which alleged that there is no recorded instance in which lumbrice or ascarides caused tetanic contractions: but Gowers refers to three cases caused by tapeworms. This statement of Dr. Smith's brings to my mind the case of Sarah Shelton (colored), aged 12 years, which occurred in my practice a few years since. I was summoned during the month of February to see this patient, who was suffering with the most violent attack of tetanus that I had ever seen. I found her resting upon her head and heels in a state of complete opisthotonos, with the