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Article
November 18, 1905

SINUS THROMBOSIS.A REPORT OF TWO CASES, WITH MASKED SYMPTOMS.

Author Affiliations

LOS ANGELES, CAL.

JAMA. 1905;XLV(21):1540-1544. doi:10.1001/jama.1905.52510210010002
Abstract

In presenting these two cases of sinus thrombosis, I desire to call special attention to the following points:

  1. The thrombosis in each case, although of otitic origin, was masked by the symptoms of the other diseases,—in the first case by coexisting typhoid; and, in the second case, by a history of malaria.

  2. The so-called classical symptoms of sinus thrombosis, namely,—chills, fever and sweats, were not present in either case.

  3. The thrombosis in each case was suspected by certain irregularities in the history which led to uncovering and carefully examining the sinus, after the mastoid ablation.

  4. The thrombosis was demonstrated in the first case by purposely opening an apparently normal sinus.

Case 1.  —E. H., a sailor aged 38, was admitted to the Los Angeles Infirmary Feb. 21, 1904, with a temperature of 104.2 and the general symptoms and signs of typhoid fever.

History.  —The course of the disease after the

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