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It requires no lengthy discussion to substantiate the statement that purulent meningitis of otitic origin is ordinarily viewed with extreme gravity and is more often fatal than not. The mortality from this desperate complication reaches well over 90 per cent. Yerger,1 reviewing the statistics of Cook County Hospital on meningitis for a ten year period in 1922, found sixty-three cases of otitic origin with two recoveries, or a mortality of 97 per cent. It would seem, then, that in such a deadly, hopeless disease with its high frequency, any form of therapy, no matter how desperate, is worthy of trial. We report two cases of purulent meningitis of otitic origin occurring in the service of one of us (M. S. E.) at the Mount Sinai Hospital, in which intracarotid injections mainly were responsible for recovery. One is a proved case of streptococcic meningitis, and the other a purulent meningitis
ERSNER MS, MENDELL TH. STREPTOCOCCIC MENINGITIS WITH INTRACAROTID TREATMENT AND RECOVERY: REPORT OF TWO CASES. JAMA. 1932;99(19):1596–1599. doi:10.1001/jama.1932.02740710040009
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