A Case of Tetanus Simulating Acute Abdomen

Medical Officer, Jashpur State, Eastern States Agency An adult male, aged 22 years, was admitted on 4th January, 1942, at. 10 a.m., into the Deosaran Hospital for the following complaints :? (1) Pain in the whole of the abdomen?duration 10 hours. (2) Faecal stasis?duration two days. (3) Absence of micturition?duration 10 hours. (4) Vomiting once the night before admission. Present illness.?Two days back the patient attended the dispensary for some pain in the neck and was treated with sodium salicylate mixture, local anodyne and a purgative. About 10 hours back, after his supper he vomited once and felt intense pain round the umbilicus which was of colicky nature and referred to the whole of the abdomen. He did not pass any urine since then and had no motion for the last two days. On examination.?Pulse?120 per minute. Temperature?normal. Patient restless and much distressed. The whole of the abdomen was rigid and tender, and