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REPORT OF A CASE
On Jan. 9, 1945, Mr. M. D., aged 64, complained of pain in his left ear. For three days he took sulfadiazine, prescribed by his family physician, and the pain disappeared. One week later there was spontaneous discharge from the left ear, and again sulfadiazine was given. He felt well and continued his daily work in a defense factory. Suddenly, on January 23, he complained of severe pain in his left ear and intense headache. He had a chill, vomited and became confused. His temperature rose to 104 F. He was admitted to the otologic service of the Mount Sinai Hospital, New York, on January 24.Physical Examination.—On admission he was a pale, toxic, sick, old-looking man who showed marked restlessness and confusion. He could not state where he was nor could he comprehend questions. The left drum membrane was thick, red and swollen, with no