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THE CEREBRAL-CISTERNAL SPINAL LAVAGE METHOD OF TREATMENT FOR SEPTIC MENINGITIS. THE INTRACAROTID TREATMENT OF EXPERIMENTALLY PRODUCED PNEUMOCOCCUS MENINGITIS. DR. JOHN A. KOLMER.
Septic meningitis refers to that caused by pneumococci or streptococci which usually arises from infection of the middle ear, mastoid or paranasal sinus. One may recover from strictly localized meningitis caused by these organisms, but the deaths from the diffuse spreading types with purulent cerebrospinal fluids still carry a mortality rate of nearly 100 per cent. Aside from this mortality rate their frequency demands increasing efforts toward the evolvement of more efficient methods of prevention and treatment.
Diagnosis is frequently and indeed usually greatly delayed. In the opinion of Dr. Kolmer, a culture on blood agar or in dextrose hormone broth should be made routinely in every case of mastoiditis at the time of operation, and an exact bacteriologic diagnosis should be demanded. If pneumococci or streptococci are
BABBITT JA. COLLEGE OF PHYSICIANS OF PHILADELPHIA, SECTION ON OTOLOGY AND LARYNGOLOGY: Regular Meeting, Dec. 19, 1928. Arch Otolaryngol. 1929;9(2):229–232. doi:10.1001/archotol.1929.00620030243012
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