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Clinical and bacteriological profile of the ear in otogenic tetanus: A case control study

Published online by Cambridge University Press:  29 June 2007

Chris E. deSouza ,
Dilip R. Karnad  and
G. H. Tilve
Chris E. deSouza*
Affiliation:
Bombay, India
Dilip R. Karnad
Affiliation:
Bombay, India
G. H. Tilve
Affiliation:
Bombay, India
*
Chris deSouza, St Peters Colony, 16 Xavier House, Manuel Gonsalves Road, Bandra, Bombay 400 050, India.
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Abstract

Twenty two patients presented with otogenic tetanus. Seventeen patients had acute histories with only a single episode of otitis media with otorrhoea. Fifteen patients had unilateral central perforations, five had bilateral central perforations and two had no perforations but had acutely congested tympanic membranes which were bulging suggesting the presence of purulent fluid behind them. All patients with perforations had a purulent pulsatile discharge. A coexisting aerobic infection was seen in 85 per cent of the cultures and 59 per cent of these were due to staphylococcus aureus (versus 25 per cent in the controls). Only one patient had received partial immunization. Tetanus resulting from otitis media is not an indication for surgery.

Keywords

Otogenic tetanus
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 12 , December 1992 , pp. 1051 - 1054
Copyright
Copyright © JLO (1984) Limited 1992

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References

Apte, N. K. (1961) Chronicotitis media and tetanus. Journal of Laryngology and Otology, 75: 734–737.Google Scholar
Beatty, H. N. (1987) Tetanus. In Harrison's principles of internal medicine (Braunwald, C. ed.) McGraw Hill p 558–561.Google Scholar
Bishop, J. M.Dubose, R. H., Hamlin, F. E. (1932) Otogenous tetanus. Journal of American Medical Association, 98: 1546–1548.CrossRefGoogle Scholar
Black, F. O., Atkins, C. C. (1972) Tetanus from tympanomastoiditis. Archives of Otolaryngology, 96: 76–80.CrossRefGoogle ScholarPubMed
Corcoran, J. (1938) Tetanus supervening on middle ear disease. British Medical Journal, 1: 1004.Google Scholar
De, S., De, S. K. (1970) Otogenous tetanus and chronic otorrhea. Journal of Laryngology, and Otology, 84: 331–336.CrossRefGoogle Scholar
Fulghum, R. S., Daniel, H. J., Yarborough, J. G. (1977) Anaerobic bacteria in otitis media. Annals of Otology, 86: 196–203.Google ScholarPubMed
Karnad, D. R., Tilve, G. H. (1990) Tetanus from ulcerated tumours. Annals of Internal Medicine, 113: 170–171.CrossRefGoogle Scholar
Karnad, D. R., Dalvi, B. R., Kalvekar, M. C.Mehta, H. J., Dastur, F. D. (1986) Medical Intensive Care. Journal of the Association of Physicians of India, 34: 777–780.Google ScholarPubMed
MacDonald, J. B., Socransky, S. S., Gibbons, R. J. (1963) Aspects of the pathogenesis of mixed anaerobic infections of mucous membrane. Journal of Dental Research, 42: 529–544.CrossRefGoogle Scholar
Mahanta, H., Das, C. (1991) Tetanus following otorrhoea. Indian Journal of Otolaryngology, 43: 155–156.Google Scholar
Mahoney, J. L. (1980) Otogenous tetanus in Zaire. Laryngoscope, 90: 1196–1199.Google Scholar
Onderdonk, A. B., Bartlett, J. G., Louie, T., Sullivan-Siegler, N., Gorbach, S. L. (1976) Microbial synergy in experimental intra abdominal abscess. Infection and Immunology, 13: 22–26.Google Scholar
Palva, T., Kärjä, J., Palva, A., Raunio, V. (1969) Bacteria in the chronic ear pre and post-operative evaluation. Practical Otorhinology and Laryngology, 31: 30–45.Google Scholar
Patel, J. C., Kale, P. A., Mehta, B. C. (1963) Otogenous tetanus. A short study of 922 cases. Proceedings from the 1st International conference on tetanus. 157–158.Google Scholar
Pande, A., Shah, A. K., Shetty, C., Ogale, S. B. (1990) Bacteriology of otitis media. Bombay Hospital Journal, 32: 17–20.Google Scholar
Potts, D. E., Wilcox, M. A., Good, J. T., Targle, D. A., Sahn, S. A. (1978) The acidosis of low glucose plueural effusions. American Revue of Respiratory Disease, 117: 665–671.Google Scholar
Sando, I., Takahashi, H., Matsune, S. (1991) Update on functional anatomy and pathology of the human eustachian tube related to otitis media with effusion. Otolaryngological Clinics of North America, 24: 795–811.Google Scholar
Shenoi, P. M. (1987) Management of chronic supportive otitis media. In Scott Brown's Otolaryngology. Vol. 2, Otology (Booth, J. B. and Kerr, A. G., eds.) 5th edition. Butterworths, London p 215–237.Google Scholar
Stonham, F. V. (1938) Tetanus supervening on middle ear disease. British Medical Journal, 1: 386.Google Scholar
Sugita, R., Kawamura, S., Ichikowa, G., Goto, S., Fujimaki, Y. (1981) Studies on anaerobic bacteria in chronic otitis media. Laryngoscope, 91: 816–821.CrossRefGoogle ScholarPubMed
Sugita, R. (1977) Bacteriological studies on chronic otitis media. Japanese Journal of Otology, 80: 907–919.Google Scholar
Tomkins, A. B. (1959) Tetanus in African children. Archives of Diseases in Childhood, 34; 398–405.CrossRefGoogle Scholar
Vakil, B. J., Shah, S. C.Tulpule, T. H., Nadkarni, M. S., Joshi, B. N. (1966) Otogenous tetanus. Journal of Indian Medical Association, 46: 6–9.Google Scholar
Wadsworth, P. V. (1962) A case of tetanus caused by chronic ear infection. Journal of Laryngology and Otology, 76: 939.Google Scholar
Wagle, C. S. (1963) Otorrhea in the causation and prognosis of tetanus in pediatric practise. Indian Journal of Medical Sciences, 17: 157–159.Google Scholar