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July 13, 1935


JAMA. 1935;105(2):92-95. doi:10.1001/jama.1935.02760280004002

Streptococcic meningitis has exacted an exceedingly high mortality. Most of the cases have been handled by otologists, as the incidence secondary to otitis media has prevailed in the larger proportion of all reported cases.

Thus far, the mortality rate, approximated from meager figures, appears to be over 97 per cent. Careful search of the literature reveals but sixty-six reported cases of recovery since 1901, including the one here reported. In reviewing the literature, one is impressed by the multiplicity and lack of correlated ideas as to the handling of this disease. Overzealousness has, to a considerable degree, resulted in the low percentage of cures. Fortunately, the number of cases of streptococcic meningitis is relatively small.

The majority of all streptococcic meningitis cases have as their source a purulent otitis media. I am aware that a purulent condition of the ear may exist coincidently with a meningitis and the two be