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My object in reporting these cases, beyond the fact that primary periostitis is rare, is to show the advisability of prompt action and radical treatment in all post-aural inflammations.
Case 1.—May 30, 1890, Mrs, M., æt. 30, a seamstress. Was convalescing from an attack of facial erysipelas, the last manifestations of which had apparently left four weeks previously. I was called in consultation by Dr. U. O. B. Wingate, on account of a painful swelling behind the left ear, which had been first observed about a week before. She had had fever for several days, and upon my examination the temperature was found to be 101°. The mastoidal region was quite boggy and exquisitely tender. The hearing distance was normal; an examination by the speculum and mirror did not even reveal congestion of the membrane. Likewise the Eustachian tubes and pharynx were apparently normal. On the same day I made
WÜRDEMANN HV. PRIMARY PERIOSTITIS OF THE MASTOID.Read before the Section of Otology and Laryngology, at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D. C., May, 1891. JAMA. 1891;XVII(18):686–687. doi:10.1001/jama.1891.02410960024001f
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