A review of the entire subject of otitic septicemia will not be attempted here, since noteworthy contributions have in recent years summarized the results from extensive series of such cases.1 Certain points in clinical management of two recent cases are submitted briefly herewith for criticism and comment.
Case 1.—A well-grown lad of 10 years retained his adenoids and the major part of each tonsil after an operation abroad at the age of 5 years. Three weeks after a mild attack of measles he complained of nasal obstruction and pain in one ear. Within eighteen hours the right drum was found to be bulging and covered by dark serous blebs, and myringotomy released a copious flow of reddish seropurulent exudate. The entire mastoid region was extremely tender, and roentgen films showed all cells filled, those at the tip being very large. The temperature on myringotomy was 101 F.; it dropped to