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May 19, 1917


JAMA. 1917;LXVIII(20):1475-1476. doi:10.1001/jama.1917.04270050177011

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In view of the scarcity of literature on the subject of parapharyngeal abscess, this case seems worth reporting:

Aug. 2, 1916, Dr. T. H. Russell of New Haven invited me to see H. S., a girl, aged 4 years, who had been treated over a period of several weeks by a number of physicians successively. An attack of measles had terminated three weeks previously. As far as we were able to ascertain, a remittent type of fever had begun immediately afterward and had continued since; the patient looked decidedly septic. Both ears had been freely discharging for nine days; the discharge was more profuse from the right ear. One week previously her mother had noticed that she "talked through her nose," as she described it. She had had an irritative unproductive cough for four days. At the time of our visit, 8:30 p. m., her temperature (oral) was 101 F.;

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