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November 14, 1903

Clinical Report.

JAMA. 1903;XLI(20):1209. doi:10.1001/jama.1903.02490390033002

A CASE OF EMPYEMA OF THE FRONTAL SINUS.*  C. A. THIGPEN, M.D.MONTGOMERY, ALA.J. B. C., aged 38 years, consulted me for headache and vertigo.

History.  —Thirteen years ago he had an attack of la grippe which was accompanied by much constitutional disturbance. During the time of his confinement he had fever and suffered much from headache, which was intolerable at times. He also stated that there was a discharge from the left nostril which has persisted since, except at times when he would "take cold" the discharge would cease, and his headache would become more intense, with much vertigo, nausea and mental stupor; these symptoms subsiding "when the cold would break" with a profuse discharge from the nose.With this incomplete history of thirteen years' suffering I began my examination of the patient. His physical appearance was one of anemia and emaciation. The left frontal region was more

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