The symtomatology of acute mastoiditis is so generally known that it is almost useless to write of it. Two modes of onset are most common. While otorrhea continues, or increases in amount, mastoid symptoms develop. This, in my experience, is the rule. Less frequently otorrhea ceases, perhaps gradually, more commonly, suddenly, with simultaneous lighting up of mastoid disease. Politzer, in his text-book, says that only once has he seen suppuration in the tympanic cavity cease, while the symptoms of inflammation in the mastoid continued undiminished. And again he states: "Occasionally cases are observed in which, several days after local symptoms disappear, abscess formation in the mastoid process is manifested." In the clinic of the Presbyterian Eye, Ear and Throat Hospital of Baltimore, so far as I find recorded, there have been only two such cases in twenty-two years: one, a child three years ago, where there was no otorrhea; the
WOODS H. ACUTE MASTOIDITIS AFTER SUBSIDENCE AND WITHOUT RECURRENCE OFTYMPANIC INFLAMMATION. JAMA. 1901;XXXVII(5):320–323. doi:10.1001/jama.1901.62470310026001g
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