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Mastoiditis without apparent disease of the middle ear is unusual and its occurrence in a diabetic patient makes the following case doubly interesting:
REPORT OF CASE
F. S., a white man, aged 27, had had diabetes for ten years. He had taken insulin since 1923.There was no history of previous ear, nose or throat disease. One month before admission the patient had apparently contracted a slight cold. The next day the left ear felt a little stuffy; later he noted autophony. There was neither earache nor aural discharge. A week later he became dizzy and weak and experienced considerable pain in the left temporal region. A swelling appeared in the left temporal and preauricular regions. This was associated with slight trismus. Two weeks before admission the pain caused him to consult an otolaryngologist, who believed that the condition was a parotitis secondary to an external otitis.The temporal headache
Childrey JH, Gray PA. MASTOIDITIS WITHOUT APPARENT OTITIS MEDIA IN A PATIENT WITH DIABETES. JAMA. 1932;98(25):2199–2200. doi:10.1001/jama.1932.27320510002007b
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