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If in simultaneous blood cultures taken from the two internal jugular veins a larger number of bacteria were found in the plates made from one side than in those made from the other side, it might be inferred that the bacteria in the blood were coming from that side. One might expect such a procedure to be valuable not only in confirming a diagnosis of thrombosis of the lateral sinus but also in determining the side involved. In the first case in which I had the opportunity to test this method, a culture from the internal jugular vein was negative, and the patient subsequently recovered without operation. In the second case, the result was surprising.
REPORT OF CASE
A boy, aged 7 years, was admitted to the pediatric service of Dr. Bela Schick, Feb. 4, 1926, complaining of pain in the left thigh and fever. Three weeks before admission to
OTTENBERG R. THE DIAGNOSIS OF SINUS THROMBOSISA NEW PROCEDURE. Arch Otolaryngol. 1927;5(1):43–45. doi:10.1001/archotol.1927.00600010051004