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August 1960

Viral Pneumonia of the Mother with Hemorrhagic Otitis in the Fetus

Author Affiliations

Boston; London
From the Department of Otolaryngology, Harvard Medical School, and the Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston.
Bilton-Pollard Fellow, Royal Ear Hospital, University College Hospital, London (Dr. Neame).

Arch Otolaryngol. 1960;72(2):163-169. doi:10.1001/archotol.1960.00740010168002

Scheibe (1890) is generally credited with having been the first to find in the secretions of an influenzal otitis, bacilli, not present in inflammations of the middle ear of other origin. They were identified later, with the help of newer culture methods as influenza bacilli. Hirsch (1912) found that the influenza bacillus rarely initiates the disease; it rather prepares the soil for other organisms; streptococci, pneumococci, and others are to be considered the true originators of what is called influenzal otitis. Later, virology gave the pathology of grippe and influenza new interpretations.

The clinical and pathological pictures of otitis in the wake of influenza is among the best known of all infections of the ear. However, it is considered mostly a disease of adults and this group offered the main material for study. Pathological investigations of influenzal otitis of the newborn are lacking, although there is no doubt about the