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Article
April 1932

CHICAGO LARYNGOLOGICAL AND OTOLOGICAL SOCIETY: Regular Meeting, Dec. 7, 1931

Arch Otolaryngol. 1932;15(4):648-656. doi:10.1001/archotol.1932.03570030667020

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Abstract

OTITISMEDIAFOLLOWINGSCARLETFEVER. DR. S. J. PEARLMAN and DR. S. W. LENNON.

A child, aged about 6 years, in whom right-sided otitis media developed following scarlet fever, was brought to the hospital with a high temperature (103 F.), a positive Kernig sign and rigid neck. A spinal puncture was done. The fluid was clear but under somewhat increased pressure; it contained 500 cells and no bacteria. A radical mastoidectomy was done a few hours after admission. The bone was removed over the tegmen tympani. The posterior fossa was exposed. The lateral sinus was exposed but not opened, and an incision was made in the dura of the middle fossa. At the end of four days, during which the child had done fairly well, signs of sepsis developed. The temperature was over 104 F. Hemoglobin fell to the neighborhood of 50, so it was decided to look at the

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