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Article
December 1933

COLLEGE OF PHYSICIANS OF PHILADELPHIA, SECTION ON OTOLARYNGOLOGY: Feb. 15, 1933

Arch Otolaryngol. 1933;18(6):835-843. doi:10.1001/archotol.1933.00630060895013

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Abstract

OTITIS MEDIA IN SCARLET FEVER. DR. H. J. WILLIAMS.

The object of this report is to discuss the aural complications occurring in patients with scarlet fever during the years from 1922 to 1929 at the Philadelphia Hospital for Contagious Diseases. It seems essential to understand that the Philadelphia Hospital for Contagious Diseases is municipally owned, so that the overwhelming majority of the patients admitted were from the less well-to-do and the laboring classes. The patients, therefore, on admission often suffered from inadequate medical and hygienic care and from improper, if not insufficient, nourishment.

During these eight years, a total of 14,733 patients with scarlet fever were admitted to the hospital. In 1,535, or 10.8 per cent, suppurative otitis media developed. One third had bilateral involvement. This compares favorably with figures from other sources. The mean average given by other investigators is about 15 per cent. In 167, or

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