Two patients with tetanus are reported to illustrate the involvement of the sympathetic and parasympathetic nervous system respectively. Aspects of the autonomic manifestations of tetanus are illustrated and discussed.
References
1.
AdamsE. B. (1958): “Clinical Trials in Tetanus”, Proc. roy. Soc. Med., 51, 1002.
2.
AmbacheN., and LippoldO. C. J. (1949): “Bradycardia of Central Origin Produced by Injections of Tetanus Toxoid into the Vagus Nerve”, J. Physiol., 108, 186.
3.
AlexanderC. S., and NinoA. (1969): “Cardiovascular Complications in Young Patients Taking Psychotropic Drugs”, Amer. Heart J., 78, 757.
4.
BakerA. B. (1943): “Medullary Intoxication in Tetanus”, Amer. J. Path., 19, 709.
5.
CliftonB. (1964): “Hypotension Associated with Tetanus”, Lancet, 1, 785.
6.
CorbettJ. L., KerrJ. H., Prys-RobertsC., Crampton SmithA., and SpaldingJ. M. K. (1969): “Cardiovascular Disturbances in Severe Tetanus Due to Overactivity of the Sympathetic Nervous System”, Anaesthesia, 24 (2), 198.
7.
CreechO., GloverA., and OchsnerA. (1957): “Tetanus: Evaluation of Treatment at Charity Hospital, New Orleans, Louisiana”, Ann. Surg., 146, 369.
8.
EbisawaI. (1967): “Mortality of Tetanus in Japan. Principles on Tetanus”, Proceedings of an International Conference on Tetanus, Bern, 1960, (Ed. EckmannL.), 71 Huber, Bern.
9.
EntmanM. L., HackelD. B., MartinA. M., MikatE., and ChangJ. (1967): “Prevention of Myocardial Lesions During Hemorrhagic Shock in Dogs by Pronethalol”, Arch. Path., 83, 392.
10.
Garcia-PalmieriM. R., and RamirezR. (1957): “Generalized Tetanus: Analysis of 202 Cases”, Ann. Intern. Med., 47, 721.
11.
GlossopM. W., and LowM. D. W. (1957): “Some Observations of Severe Tetanus Treated by Paralysis and I.P.P.R.”, Brit. J. Anaesth., 29, 326.
12.
GreenhootJ. H., and ReichenbachD. D. (1969): “Cardiac Injury and Subarachnoid Hemorrhage A Clinical Pathological and Physiological Correlation”, J. Neurosurg., 30, 521.
13.
KeiltyS. R., GrayR. C., DundeeJ. W., and McCulloghH. (1968): “Catecholamine Levels in Severe Tetanus”, Lancet, 11, 195.
14.
KerrJ. H., CorbettJ. L., Prys-RobertsC., Crampton SmithA., and SpaldingJ. M. K. (1968): “Involvement of the Sympathetic Nervous System in Tetanus”, Lancet, 11, 236.
15.
KerrJ. H., CorbettJ. L., and SpaldingJ. M. K. (1969): “Sympathetic Overactivity in Tetanus”, Proc. roy. Soc. Med., 62, 659.
16.
LilleheiR. C., LilleheiC. W., GrismerJ. T., and LevyM. J. (1963): “Plasma Catecholamines in Open Heart Surgery. Prevention of their Pernicious Effects by Pretreatment with Dibenzyline”, Surg. Forum, 14, 269.
17.
MartinA. M., HackelD. B., and KurtzS. M. (1964): “Ultrastructure of Zonal Lesions of Myocardium in Hemorrhagic Shock”, Amer. J. Path., 44, 127.
MontgomeryR. D. (1961): “The Cause of Death in Tetanus”, W. Indian Med. J., 10, 84.
20.
MurphyK. J. (1970): “Fatal Tetanus with Brainstem Involvement and Myocarditis in an Ex-Serviceman”, Med. J. Aust., 2, 542.
21.
NajafiH., HesonD., DyeW. S., JavidH., HunterJ. A., CallaghanR., EisensteinR., and JulianO. C. (1969): “Left Ventricular Hemorrhagic Necrosis”, Ann. Thorac. Surg., 7, 550.
22.
PatelJ. C., GoodluckP. L., SheshiaS. S., and DeshpandeD. H. (1965): “Morbid Anatomical Lesions in Tetanus”, Proc. Int. Conf. Tetanus, 1963 (Ed., J. C. Patel), p. 303, Bombay.
23.
Prys-RobertsC., CorbettJ. L., KerrJ. H., Crampton SmithA., and SpaldingJ. M. K. (1969): “Treatment of Sympathetic Overactivity in Tetanus”, Lancet, 1, 542.
24.
RaabW. (1966): “Emotional and Sensory Stress Factors in Myocardial Pathology”, Amer. Heart J.72, 538.
25.
ReichenbachD. D., and BendittE. P. (1970): “Catecholamines and Cardiomyopathy. The Pathogenesis and Potential Importance of Myofibrillar Degeneration”, Human Path., 1, 125.
26.
RichardsonH. L., GraupnerK. I., and RichardsonM. E. (1966): “Intramyocardial lesions in patients Dying Suddenly and Unexpectedly”, J. Amer Med. Ass., 195, 254.
27.
SodeJ., GetzenL., and OsborneD. P. (1967): “Cardiac Arrhythmias and Cardiomyopathy Associated with Pheochromocytomas”, Amer. J. Surg., 114, 927.
28.
TaberR. E., MoralesA. R., and FineG. (1967): “Myocardial Necrosis and the Postoperative Low Cardiac Output Syndrome”, Ann. Thorac. Surg., 4, 12.
29.
VakilB. J., TulpuleT. H., and RananvareM. M. (1965): “The Causes of Death in Tetanus”, Proc. Int. Conf. Tetanus, 1963 (Ed. PatelJ. C.), 282 Bombay.
30.
Van HeyningenW. E. (1970): “Pathogenicity and Virulence of Microorganisms IV. Bacterial Toxins”, in General Pathology (Ed. FloreyLord), 4th edition, Lloyd-Luke, London, 879.
31.
WrightR. (1960): “The Treatment of Tetanus”, M.D. Thesis, University of Cape Town.
32.
WrightE. A., MorganR. S., and Wright PaylingG. (1950): “Tetanus Intoxication of the Brain-stem in Rabbits”, J. Path. Bact., 62, 569.