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A REPORT OF FOUR CASES

LOUIS K. GUGGENHEIM, M.D.; DAVID P. FERRIS, M.D.

Arch Otolaryngol. 1930;11(4):445-458.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The cases here reported represent a peculiar form of mastoiditis characterized by an infection of long duration, few symptoms and an extensive dry necrosis. Cultures from cases 1, 2 and 4 were negative. In case 3 the laboratory report was: The gram-stained smear shows short streptococci and diphtheroid bacilli; the culture shows gramnegative spored bacilli. It is possible that all of the cases were of Streptococcus mucosus origin as this organism may cause extensive involvement of the bone in the mastoid, with but few symptoms; further, the tympanic involvement may be transient. In case 1 of this report and in certain other cases reviewed, the drum membranes were intact and free from all signs of disease, while in the mastoid a most extensive necrosis was present. Prior to encountering these cases, we were unaware that an extensive necrosis of the mastoid could exist for many years with extremely mild symptoms . . . [Full Text PDF of this Article]

Author Affiliations
ST. LOUIS

Footnotes
Submitted for publication, Oct. 23, 1929.

Read before the St. Louis Ear, Nose and Throat Club, Jan. 16, 1929.

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