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A girl, aged 8 years, with irrelevant history, during the past winter had had occasional attacks of pain in both ears, with more in the left.
April 28, she was awakened from sleep about 11 o'clock with sharp pains in the left ear. The family physician saw her the next morning and on the second day the ear spontaneously began discharging freely. A boric acid irrigation was used twice a day, and after five days the discharge stopped. However, the pain continued and all this time there was a variable, fluctuating temperature as high as 102 F. There was no swelling or tenderness over the mastoid. Sodium salicylate and acetylsalicylic acid were prescribed for pain and the control of fever. As soon as the discharge stopped, a swelling was noticed just in front of and on a level with the external auditory canal. This swelling extended anteriorly upward and above
Hermann E. ATYPICAL MASTOIDITIS: CASE WITH DEEP ABSCESS IN TEMPORAL FOSSA, BEGINNING AS SUSPECTED PAROTITIS. JAMA. 1930;94(20):1572. doi:10.1001/jama.1930.27120460003010b