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Article
April 1930

COLLEGE OF PHYSICIANS OF PHILADELPHIA, SECTION ON OTOLOGY AND LARYNGOLOGY

Arch Otolaryngol. 1930;11(4):524-529. doi:10.1001/archotol.1930.03560040140015

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Abstract

REPORT OF A CASE OF SINUS THROMBOSIS PRESENTING SOME INTERESTING FEATURES. DR. BENJAMIN D. PARISH.  Seven weeks after exposure to scarlet fever and a protective inoculation of antiscarlatinal serum, a boy, aged 10 years, developed earache with a temperature of 104 F. An incision of the bulging left drumhead liberated bloody serum, but his condition was no better on the following day and operation revealed a hemorrhagic mastoid, the general appearance of the bone being that of an acute osteomyelitis. A pure culture of Streptococcus hemolyticus was obtained from the antrum.After operation, the temperature dropped to 100 F., but within the next two days rose to 105 and 106 F. Blood cultures were negative. The internal jugular was ligated, and through the original incision the inner table of mastoid over the sigmoid sinus was removed; the sinus was found bathed in pus. The wall of the sinus was very

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