—A. W., a white girl, aged 8, had a past history of no importance. She had complained of head colds since the latter part of December, 1915 (with occasional earache), which were not severe and subsided without treatment.Jan. 21, 1916, the left ear began to pain intensely and the temperature was 101; headache was severe and the child was irritable. January 22, she was brought to my office by the mother, who gave me the foregoing information. At that time examination showed a slightly red membrane in the left ear; there was no bulging, and no perforation or discharge. There had never been any discharge from the ear. There was slight postauricular pain and some pain in the angle under the ear.
Treatment and Course.
—A free paracentesis was done which yielded no pus; the temperature was 100.5. January 23 the mother reported that the child was feeling
Huntington WH. CASE OF MASTOIDITIS COMPLICATED BY PURULENT CEREBROSPINAL MENINGITIS; OPERATION AND RECOVERY. JAMA. 1916;LXVII(3):201–202. doi:10.1001/jama.1916.02590030043011
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