A Treatise on the Eclectic Southern Practice of Medicine Page: 455 of 724
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LOCK-JAW OF INFANTS.
has taken place under all modes of treatment; yet I am
satisfied, from a number of cases I have treated, that
you will succeed, if you follow it, in a fair proportion of
cases.
See anti-spasmodic tincture-last paragraph under the
head of infantile convulsions.
TRISMUS NASCENTIUM.
Lock-Jaw of Infants.-This is an exceedingly fatal
variety of tetanus, and merits a distinct notice. It
occurs in infants soon after birth, and has received the
name of trismus nascentium. In some portions of our
country, especially the Brazos, it is very destructive
among the negro children; over one-half of the colored
infants in that district perish of the disease.
Much has been written upon this subject, and in the
American Journal of Medical Science, for 1848, there is
a very able article from the pen of J. M. Sims, M. D.,
of Alabama. It is usually ascribed to irritation arising
from the cutting of the cord, and dissection has gene-
rally revealed ulceration of the umbilicus, with more or
less inflammation of the investments of the umbilical ves-
sels, and of the peritoneal membrane. The attack gene-
rally comes on in either the first or second week from
birth; it is always attended with contractions or spasmno-
dic closure of the jaws, and frequently other muscles are
affected. Many Southern practitioners, who have seen
a great deal of it, declare that they have never known
an instance of recovery.
I have seen many cases of this disease, and, in con-
nection with the causes heretofore assigned, recollect
one fact-this disease seldom if ever attacks white chil-
dren; in every case that I have seen, I have found the455
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (https://texashistory.unt.edu/ark:/67531/metapth143817/m1/455/: accessed April 26, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.