In 1930, the publication of a number of articles, especially those of Eagleton, Friesner, and Kopetsky, focused attention on the subject of suppuration of the petrous pyramid. Ten years later, in a report on this condition, Moorehead1 pointed out that infection of the petrous pyramid had been discussed sufficiently so that otologists had become "pyramid-minded" and were on the lookout for these cases rather than being surprised when they were encountered. Since the advent of the antibiotic era, however, this condition has become so rare that the younger otologists are apt to be familiar with it only through textbook descriptions. The following clinical course of a case of petrous apicitis, developing despite antibiotic therapy, is therefore considered of sufficient interest to warrant a brief report.
Report of Case
A 5-year-old girl developed symptoms of ear involvement on Dec. 21, 1955, complaining of pain in the left ear. She was