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October 1970


Author Affiliations

2210 Maroneal Houston 77025

Arch Otolaryngol. 1970;92(4):412-413. doi:10.1001/archotol.1970.04310040100024

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To the Editor.  —The article, published in the November 1969, issue of the Archives by Dr. Francis Weille on malignant hyperthermia complicating general anesthesia brought to mind a similar case but a more unfortunate outcome.

Report of a Case.  —In February 1960, a 5-year-old boy was referred by his pediatrician for recurrent attacks of otitis media and adenotonsillitis. The mother stated that she had practically lived in the pediatrician's office because of recurrent upper respiratory infections and those complications. Clinically it was thought the patient was hydrocephalic and was under the care of a neurologist and on diphenylhydantoin (Dilantin). There was a history of sustained febrile episodes up to 104 and 105 F (40 and 40.6 C), which were controlled with difficulty with antipyretics, alcohol sponges, etc. There was also a history of convulsions during these febrile episodes.During the interim from February 1960, until he was operated on, December

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