358 Some Account of a remarkable Case of Tetanus, 



rain. He changed his jacket in the forenoon, but kept thp 

 rest of his wet clothes on the whole day. In the evening 

 he suddenly found a stiffness accompanied with pain attack 

 the muscles of the neck, extending downwards to the loins, 

 and affecting the muscles round the shoulder so much that 

 he felt much pain on attempting to elevate his arms : he also 

 experienced some little difficulty in opening the mouth. He 

 passed a restless night, and the next day, 



13th day, — His complaints were more troublesome, 

 though they did not prevent him from following his work. 

 While pursuing it, however, he felt occasionally a consider- 

 able sensation of weight in his stomach, accompanied with 

 that of a tightness round his body, as if it were gift or com- 

 pressed by a cord tied tightly round it. He had also much 

 difficulty in bending his body forward.— Little rest at night. 



3d day of the symptoms.— The stiffness in the muscles of 

 the trunk was now so considerable as altogether to prevent 

 the stooping; — he also experienced much pain in the part af- 

 fected. Towards evening the pain in the region of the 

 stomach was very violent, and the general stiffness more 

 urgent. — His body was (to use his own expression) as stiff as, 

 a poker : and at times he felt his head drawn forcibly back- 

 wards. — In the night he was still more restless. 



4th day. — All his complaints were aggravated, — the re- 

 curvation of the head and spine being more frequent and 

 the stiffness of the muscles more general. In, the evening 

 the sensation of a load at the stomach was so distressing that 

 lie took a dose of antimonial wine, but it did not operate. — 

 His jaw had now gradually so much clpsed that his food 

 could scarcely be introduced between his teeth.— Passed £ 

 very bad night, and on the 



5th day, — Being totally unable to work, he came to the 

 Hospital. He now complains of a stiffness at the lower part 

 of the sternum, with a difficulty in breathing. His mouth 

 is almost closed, the neighbouring muscles appearing rigid 

 to the eye as well as to the touch, but particularly the ster- 

 no-mastoid of the left side, so that he moves his head to the 

 right with much more ease than to the lefy, — He feels no 

 difficulty in swallowing, but cannot easily get food into his 



mouth. 



