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October 1956

Otitic Meningitis: A Review of Cases in an Attempt to Evaluate the Results of Treatment

Author Affiliations

Rochester, Minn.
From the Section of Otolaryngology and Rhinology, Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

AMA Arch Otolaryngol. 1956;64(4):253-257. doi:10.1001/archotol.1956.03830160001001

Meningitis complicating otitis media is not common. Prior to the antibiotic and sulfonamide era, practically all patients with diffuse leptomeningitis, excluding meningococcus meningitis, died. Since the advent of antibiotic and chemotherapeutic agents, many patients recover; but the mortality rate is still high enough to warrant a review of such cases in an attempt to evaluate the results of treatment. In the 10-year period 1946 through 1955, fifteen patients with otitic meningitis were treated at the Mayo Clinic. Those patients with chronic otitis media and a history of meningitis in the past are not included in this study. Only those who were admitted with meningitis as a complication of otitis media are reviewed. The essential facts are recorded in the Table.

The 15 patients were seen with fairly uniform frequency, at a rate of 1 to 3 cases annually. There were 12 males and 3 females in the series. It is

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