TETANUS. 487 



Traumatic tetanus may result from a very trivial injury, 

 although it is most likely to do so after a severe laceration or 

 jmucture, more especially when nerves are injured. Wounds 

 of the feet and joints, although giving rise to a high degree of 

 irritative fever, seldom cause tetanus, and in my experience 

 wounds in the region of the quarters, thighs, and fore arm, more 

 especially if the great nerves of those parts are injured, are those 

 most liable to cause it;. 



The operations which are most commonly succeeded by 

 tetanus are docking, castration, the insertion of setons, and in 

 one instance which fell under my notice, a moderate blister to 

 a fore leg proved a cause of tetanus. 



Tetanus, whether traumatic or idiopathic, is rarely seen in 

 certain districts. Mr. Cartwiight of Whitchurch informs me 

 that he has never seen a case of tetanus in his district, although 

 he has practised there for forty-five years ; and during the ten 

 years I practised in Bradford I saw but two cases, both of which 

 were idiopathic. In other districts of the country, tetanus, of 

 both kinds, is exceedingly prevalent. 



Tetanus is occasionally seen as an enzootic disease, simul- 

 taneously attacking several animals in the same district. 

 During the summer of 1858 I witnessed ten cases in a 

 fortnight. Some of these were traumatic, whilst the exciting 

 cause of the others could not be traced. Some writers on 

 veterinary surgery state that tetanus is more apt to prevail in 

 cold than in hot weather. My experience is contrary to this, 

 and that it is mostly during warm weather that the disease 

 ])re vails to any extent, although isolated cases of it occur at all 

 times of the year. 



There are several varieties of the disease, and the word 

 tetanus is made use of to denote it generally. As a generic 

 term, it comprehends all the varieties, but when not used 

 in this sense it implies that the disease involves all classes 

 of muscles equally. When the muscles of mastication are 

 alone involved, it is called trismus. When it chiefly affects 

 the superior cervical and dorsal muscles, causing the head 

 to be elevated and the spine curved downwards, it is called 

 opistliotonos. When the muscles of one side are affected, it is 

 called tetanus lateralis, ov pleurostJiotonos; and in other cases — 

 rare even in the human being — the inferior muscles are cliiefly 



