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The medical and surgical management of the septic patient with suppurative otitis media presents a distinctly individualized problem, one which does not submit to the simple solution of adapting the patient to one standardized procedure. I use the expression "the septic patient with otitis media" rather than "the patient with otitic sepsis" in order to emphasize the frequently forgotten fact that the otitis media may be an incident in the course of an infection elsewhere in the body responsible for the patient's sepsis.
The term "sepsis" is used rather broadly to represent a clinical picture manifesting numerous variations. It cannot have the concreteness indicated by such terms as bacteremia and septicopyemia. In the present discussion those patients have been considered septic in whom, during the course of an otitis media, leukocytosis has developed with intermittent fever rising to 103 F. or higher at least once daily and who have continued
MAXWELL JH. THE MANAGEMENT OF THE Septic PATIENT WITH OTITIS MEDIA. JAMA. 1938;110(19):1536–1538. doi:10.1001/jama.1938.02790190006002
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