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May 1942


Arch Otolaryngol. 1942;35(5):687-719. doi:10.1001/archotol.1942.00670010694001

Meningitis is still the most frequent fatal complication of suppurative disease of the ears and sinuses. In reviewing 160 consecutive cases of meningitis in patients seen in consultation from Jan. 1, 1938 to April 30, 1941 at the Harlem Hospital, we found an otorhinogenic focus in 58, or 36.2 per cent. Because of this fact, we feel justified in reporting our experience with this series of cases. In presenting some of the literature on the subject, it is not the intention to mention every possible clinical detail for the sake of completeness; it is taken for granted that the reader is familiar with most or all of those points and facts that are now commonly accepted knowledge. We shall discuss only points in anatomic pathways, diagnosis and treatment, in order to bring into juxtaposition and appraisal the differing opinions for the purpose of presenting a comprehensive picture of the disease

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