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Article
December 1937

DIFFERENTIAL DIAGNOSIS BETWEEN THROMBOSIS OF THE LATERAL SINUS AND ACUTE BACTERIAL ENDOCARDITIS

Author Affiliations

NEW YORK
From the otologic service of Dr. Isidore Friesner, Mount Sinai Hospital.

Arch Otolaryngol. 1937;26(6):668-686. doi:10.1001/archotol.1937.00650020740003
Abstract

It is not difficult, as a rule, to make the correct diagnosis of thrombosis of the lateral sinus. There is, however, a puzzling group of cases in which after acute otitis the signs and symptoms of sepsis present themselves together with evidence of a cardiac lesion. The otologist often may have grave doubts as to whether the patient has thrombosis of a lateral sinus or acute bacterial endocarditis. There are, I have found from a study of the cases observed by my associates and me, certain criteria which have not been sufficiently stressed and which aid in making the differential diagnosis. It is of paramount importance that the correct diagnosis be made, since the treatment of sinus thrombosis is surgical whereas the presence of acute bacterial endocarditis implies a hopeless prognosis which contraindicates surgical intervention. I am therefore presenting analyses and discussions of 5 such cases observed at the Mount

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