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September 1941


Author Affiliations

From the Otologic Service of Drs. G. M. Coates and M. S. Ersner at the Graduate Hospital of the University of Pennsylvania and Mount Sinai Hospital, respectively.

Arch Otolaryngol. 1941;34(3):473-484. doi:10.1001/archotol.1941.00660040513004

The clinical picture of Pneumococcus type III infection of the ear has been presented from time to time since the original description of Pneumococcus, by Schottmüller1 in 1903. Kümmel,2 in 1907, Neumann, Ruttin and Gohn,3 in 1909, Albert,4 in 1911, Alberti,5 in 1913, and others have presented descriptions of a definite clinical entity ascribed to this organism.

The importance of this entity has been recognized, and all its concomitant features should be viewed with a certain degree of gravity. Early surgical intervention usually is followed by an uneventful convalescence. However, because of the extremely insidious nature of the infection, with the otoscopic picture often atypical, operation is frequently delayed, and when this is true, intracranial complications are relatively more common. It seems that this clinical entity often has been accepted as incidental, for few American investigators have described the condition. A series of foreign articles have stressed the genesis of