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—In July, 1911, I was asked, by Dr. Walton Martin, to see a patient with mastoiditis who had that day been admitted to St. Luke's Hospital. The patient, a boy aged 15. well-developed and vigorous in appearance, had had a discharging ear for two weeks and mastoid pain for four days. Myringotomy had been done twice, the last time four days before I saw him.
—I found an abundant discharge in the right ear, the canal somewhat narrowed, the membrane bulging in its posterior and upper portions. The mastoid was very tender over the antrum and over the tip. The patient's temperature was 104.8 F. rectal, the pulse 104, respirations 26; his mental condition was dull, and he looked decidedly ill. A smear from the aural discharge showed a streptococcus infection. The heart, lungs and kidneys were apparently normal and there were no cerebral
HOPKINS FT. ACUTE MASTOIDITIS, SINUS THROMBOSIS, SUPERFICIAL BRAIN ABSCESS; RECOVERY. JAMA. 1912;LVIII(14):1004–1005. doi:10.1001/jama.1912.04260040020008
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