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January 21, 1899

DENTAL SEPTICEMIA OF THE ANTRUM.TWO CASES WITH OBSCURE SYMPTOMS.

JAMA. 1899;XXXII(3):121-122. doi:10.1001/jama.1899.92450300023001h

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Abstract

In presenting these brief notes on such a common subject, I ask the consideration of the Section because it seemed as though the period of life at which the disease occurred, as well as the obscurity of the cases for lack of the usual symptoms, would be of interest.

The cases would hardly come under the term ''empyema," unless we accept that definition to be a chronic suppuration, as is usually described in the text-books. C. Heath, in his article on ''Diseases of the Antrum," in the ''Dictionary of Surgery," speaks of suppuration or empyema of the antrum as being ''a form of chronic abscess, but with the peculiarity that the pus is seldom completely shut in, so as to produce distension.'' This statement may be questioned by some when we remember the bulging cheek, even with a copious nasal discharge.

Case 1.  —The patient, aged 8 years, was first

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