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March 1937


Arch Otolaryngol. 1937;25(3):311-313. doi:10.1001/archotol.1937.00650010349008

M. D., a white boy, aged 8 years, acquired acute otitis media on the right side on Dec. 1, 1935. A paracentesis was performed on the following day, with a resultant serosanguineous discharge. In the hope of combating this condition without surgical intervention, a blood transfusion of 150 cc. was given. Immediately after the transfusion the urine appeared dark and bloody. Nine days from the onset of the initial symptoms in the ear a simple mastoidectomy was necessary. On removal of the mastoid cortex the lateral sinus was found to be extremely superficial. The mastoid structure was of the diplocic cell type and bled freely. Pus was found in the neighborhood of the antrum. The dura over the middle fossa was purposely exposed, but no pathologic changes could be seen.

After another blood transfusion the urine again became bloody. On December 16, one week after the mastoidectomy, the patient complained

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