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Article
August 1937

BILATERAL PNEUMOCOCCIC MASTOIDITIS: REPORT OF A CASE WITH OPERATION AND SERUM TREATMENT

Arch Otolaryngol. 1937;26(2):187-188. doi:10.1001/archotol.1937.00650020203007
Abstract

The following case is reported in order to present the use of specific antipneumococcus serum in mastoiditis.

Mrs. S. S., a white woman aged 35, was examined on Dec. 30, 1936. The chief complaint was pain and diminished hearing in both ears. She had had a cold ten days before, with nasal secretion and nasal obstruction during the last four days. Acute pain in both ears had been present for the past eight hours. The temperature at 9 a. m., when she was first examined, was 98.4 F.; the pulse rate, 88. Both tympanic membranes were red and bulging. No landmarks could be made out. The nose showed obstruction, with the turbinates turgescent and with mucopurulent secretion on both sides. On transillumination the frontal sinuses appeared clear while the antrums were dark. The turbinates were shrunk with a dilute solution of cocaine; paracentesis was done on both sides with the

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