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This case is reported not as one of primary mastoiditis, but rather as an acute purulent mastoiditis having its origin in an acute purulent otitis media, and presenting some unusual features, the most interesting of which is the absence of aural discharge throughout the preoperative course of the disease.
It is difficult to picture in one's mind an acute suppuration within the middle ear, accompanied by suppurative mastoiditis with subperiosteal abscess, without a ruptured or incised drum head and aural discharge, and yet such cases do occur and have been reported.
REPORT OF CASE
C. B., a woman, aged 19, seen by me in consultation with her regular medical attendant, April 4, 1923, did not appear to be very ill, was ambulatory, and had been so from the beginning of her ailment, although she had been having a low, irregular elevation of temperature. Over the left mastoid process was a
King CR. ACUTE MASTOIDITIS WITHOUT AURAL DISCHARGE. JAMA. 1923;81(18):1523. doi:10.1001/jama.1923.26510180003014b
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