Case of Acute Mastoiditis With Some Unusual Features

The interesting and uncommon features present in this case I believe warrant its recital. Patient. —Mrs. S., 65 years of age; a widow; domestic by occupation; was admitted to the hospital Nov. 30, 1907. History. —Patient's family history is negative. Three years ago she suffered from an attack of pneumonia, followed by an acute purulent otitis media in the right ear, from which she eventually completely recovered. Nov. 3. 1907, she was confined to bed with an attack of influenza, and almost immediately an acute otitis media made itself apparent in the left ear. The tympanic membrane ruptured of its own accord, and soon a purulent discharge was noticed. At first there was little pain, but gradually the pain became more severe in character and extended over the region of the mastoid process. This condition was allowed to go on for two weeks, when the pain, temperature and deafness made