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October 1936


Arch Otolaryngol. 1936;24(4):503-504. doi:10.1001/archotol.1936.00640050515009

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The past history of this patient, a boy of 9 years, is irrelevant except for a tendency to acidosis on slight provocation associated with a somewhat rapid pulse and vomiting. He had no previous operations except a tonsillectomy and adenoidectomy a few years before the onset of the condition present at the time of his admission.

The present illness started on July 10, 1934, at which time the patient acquired an abscess of the right ear, one day after swimming. The drum was incised at that time. I first saw the child about ten days later. Examination disclosed a profuse discharge from the middle ear, moderate sagging of the superoposterior wall of the canal and definite tenderness over the mastoid antrum. The temperature was 103 F., and he complained of severe pain back of the ear. The whole clinical picture definitely presented evidence of typical suppurative mastoiditis. The blood

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