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Article
December 1931

MASSACHUSETTS EYE AND EAR INFIRMARY, OTO-RHINO-LARYNGOLOGICAL SERVICES

Arch Otolaryngol. 1931;14(6):840-845. doi:10.1001/archotol.1931.03580020931017

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Abstract

A Case of Mastoiditis; Lateral Sinus Phlebitis with Septicemia. Reported by Dr. F. Bogan and Dr. L. Happ.  A girl, aged 7 years, was admitted to the infirmary with the history that a month before there was pain in the right ear for two or three days, without discharge. She felt perfectly well until the day before admission, when she became suddenly ill with general malaise and acute pain in the ear. On admission the child had a temperature of 105 F. There was redness of the membrana tympani, with definite tenderness over the mastoid region, but there were no other clinical signs. Incision of the membrane yielded a serohemorrhagic fluid. Neurologic examination showed transitory stiffness of the neck and a positive Kernig sign. The white blood cell count was 18,000. The Shillinggram showed 42 per cent immature cells, and a spinal puncture showed normal

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