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A man aged 45 years, by occupation a passenger brakeman, consulted me on May 30, on account of a discharge from the left ear, attended by pain, tenderness, and swelling in the region immediately behind the auricle. The following history was obtained:
The patient had enjoyed good health and had suffered from no ear affection until about Jan. 1, 1898, when a severe cold in the head terminated in acute otitis media of both ears, with resulting suppuration of the left ear after a period of eight or nine days of intense suffering. Prior to spontaneous rupture of the membrana tympani the patient had suffered for two or three days with pain and tenderness behind the ear, but this partially subsided with the appearance of discharge, though it continued, together with the discharge, as one of the symptoms leading him to consult me for relief, five months later. For a
BULSON AE. A CASE OF MASTOIDITIS.DUE TO PURULENT OTITIS, AND COMPLICATED BY SINUS THROMBOSIS AND EPIDURAL ABSCESS.. JAMA. 1899;XXXII(1):12–14. doi:10.1001/jama.1899.92450280012001e
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