Cook, John Parsons, -1855; Palmer, William, 1824-1856 -- Trials, litigation, etc.; Trials (Murder) -- England -- London
Sir BENJAMIN BRODIE, examined by Mr. JAMES--I was surgeon at St. James’s
Hospital for a great number of years, and have had a considerable
practice. I have had many cases of death from tetanus. Death from
idiopathic tetanus is very rare in this country. I heard the description
of the symptoms attending the death of Mr. Cook. As far as the spasmodic
contraction of the muscles is concerned, the symptoms resemble those of
traumatic tetanus; as to the course the symptoms took, that was entirely
different. I heard about the attack on the Monday night and its ceasing,
and the patient being comfortable and composed during the Tuesday, and
then the attack again about ten minutes before twelve on the Tuesday
night. The symptoms of traumatic tetanus always begin, so far as I have
seen, very gradually; the stiffness of the lower jaw being, I believe,
invariably the symptom first complained of; then the contraction of the
muscles of the back is always a later symptom; the muscles of the
extremities are affected in a much less degree than those of the neck
and trunk, except in some cases where the injury has been in a limb, and
an early symptom has been a spasmodic contraction of the muscles of that
limb. I do not recollect a case in which in ordinary tetanus there was
that contraction of the muscles of the hand which I understand was
stated to have existed in this instance. Ordinary tetanus rarely runs
its course in less than two or three days, and often is protracted to a
much longer period; I know one case only in which the disease was said
to have terminated in twelve hours.
LORD CAMPBELL--Probably in that case the early symptoms had been
overlooked?--I never knew these symptoms of ordinary tetanus to last for
a few minutes, then subside, then come on again after twenty-four hours.
[Sidenote: Sir B. Brodie]
Examination continued--I do not believe that death here arose from what
we ordinarily call tetanus, either idiopathic or traumatic. I never knew
a death from tetanus to result from a sore throat, or a chancre, or any
other form of syphilitic disease. The symptoms of the death of Mr. Cook
are not consistent with a fit of apoplexy. I never saw a case in which
the symptoms that I heard described arose from any disease.
Cross-examined by Mr. SERJEANT SHEE--I remember one case of idiopathic
tetanus in our hospital, but I doubted its deserving the name of
tetanus.
Considering how rare tetanus is, would you think that the description of
a chambermaid and of a provincial medical man, who had only seen one
case of tetanus, could be relied upon by you as to what the disease
observed was?--I must say I thought the description very clearly given.
I have never seen the syphilitic poison produce convulsions except as a
consequence of disease in the bones of the head.
* * * * *
[Sidenote: Henry Daniel]
Public-domain text, read in full here on John Shaqi.
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