March 20, 1915


JAMA. 1915;LXIV(12):983-986. doi:10.1001/jama.1915.02570380031010

MEDICAL NOTES, BY DR. HEIMAN  Thrombosis of the lateral sinus subsequent to acute otitis media is not uncommon. It usually gives definite signs and symptoms, is accompanied by a positive blood culture and is readily diagnosed. The following case, however, from the pediatric department of Dr. Koplik in Mount Sinai Hospital, in which the patient was seen during my summer service, transferred to the otologic service of Dr. Whiting and operated on by Dr. Ballin, is deemed worthy of special mention on account of several unusual features, namely:

  1. The difficulty of diagnosis.

  2. The blood culture results.

  3. The finding of bacteria in the blood by means of smears.

  4. The continuance of the septic temperature for weeks after the removal of the thrombus.

M. S., boy, aged 8½ years, had had measles and whooping cough in early childhood. Three weeks before admission he had been treated for a left-sided pneumonia complicated by

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