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Article
July 1926

COLLEGE OF PHYSICIANS OF PHILADELPHIA, SECTION ON OTOLARYNGOLOGY

Arch Otolaryngol. 1926;4(1):93-96. doi:10.1001/archotol.1926.00590010103010

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Abstract

SOMEPHASES OFSTREPTOCOCCICINFECTION INACUTEMASTOIDITIS. Presented by DR. RICHMONDMCKINNEY, Memphis (by invitation).

Dr. McKinney, on account of recent experiences with mastoid cases, has come to believe that the type of infection plays a much greater rôle in the prognosis and clinical symptoms than he formerly thought. Three patients on whom he recently operated were cited. All were children with symptoms of acute mastoiditis demanding operation. Each showed a hemolytic streptococcus in pure culture. One showed positive clinical evidence of partial sigmoid sinus thrombosis, with a blood culture positive for the same organism. Operation was postponed on account of the opinion of the bacteriologist, Mr. L. O. Dutton. Mr. Dutton claims to be able to foretell the results of streptococcic blood stream infection with 100 per cent accuracy. He recognizes several types of streptococci existing as mixed strains, each of which is combined with

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