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Article
October 29, 1892

OBSERVATION OF A CASE OF PURULENT OTITIS MEDIA, CEREBELLAR ABSCESS AND DEATH IN THREE WEEKS.Read in the Section of Laryngology and Otology, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892.

Author Affiliations

OF PHILADELPHIA, PA.

JAMA. 1892;XIX(18):510. doi:10.1001/jama.1892.02420180004001b

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Abstract

The patient was a little girl 5½ years old. She was attacked with acute otitis media January 24,1892, and allowed by the family physician, a homœopathic one, to suffer a week without paracentesis of the membrane. At the end of that time spontaneous rupture occurred and muco-pus flowed from the meatus. The child, however, drooped and complained of headache, though she was free from earache. Gradually, by the end of the second week, the patient showed well-marked symptoms of cerebral abscess, and at the end of the third week the case was abandoned by the irregular practitioner and other consultants were called in. I recognized the condition of the patient when I was summoned to see her on February 10, 1892.

At my suggestion, Dr. Wm. W. Keen was called in with a view to his trephining for relief of the cerebral abscess. The precise position of the latter could

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