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August 1955

Otogenic Brain Abscess: Report of Two Cases with Unusual Clinical Features

Author Affiliations

From the Veterans Administration Hospital, Hines, Ill., and the Department of Otolaryngology (Francis L. Lederer, M.D., Senior Consultant and Head of Department of Otolaryngology); Dr. Gladney and Dr. Sofranec, Residents in Otolaryngology, University of Illinois College of Medicine.

AMA Arch Otolaryngol. 1955;62(2):159-163. doi:10.1001/archotol.1955.03830020041009

The occurrence of brain abscess secondary to ear disease while becoming infrequent in this antibiotic era can and does present itself. Our experience with these and other unreported otogenic complications is at great variance with the opinions of some clinicians who repeatedly emphasized their extreme rarity occasioned by the advent of antibiotic therapy. The patients under discussion presented clinical evidence of an acute exacerbation of a chronic otitis media, and the brain exploration took place subsequent to a mastoid exenteration, which in both cases disclosed pus under pressure in the mastoid cavity. The brain explorations took place within a five-day period coincidental with change of attending personnel (M. F. S. and H. S.). Because of some irregular clinical findings in two cases we wish to present in some detail their treatment and progress.


Case 1.  —H. A., a 30-year-old white man, was admitted to the hospital on

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