CONRAD WESSELHOEFT, M.D., F.A.C.P.
Otitis media suppurativa is the most important complication in scarlet fever. Its importance is due to its frequency, to the possibility of permanent deafness, and to its relation to mastoiditis, sinus thrombosis, septicemia, petrositis, and meningitis.
At the outset, we must distinguish between the manifestations of the toxin, which consist of fever, vomiting, the enanthem and the rash, and those manifestations of the pus-forming properties of hemolytic streptococci, which may also give rise to fever. A middle ear abscess is one of several possible pyogenic complications in the course of the disease. Nor does this abscess materially differ in its
WESSELHOEFT C. FACTORS INFLUENCING THE INCIDENCE AND COURSE OF OTITIS MEDIA IN SCARLET FEVER1. Ann Intern Med. 1939;12:1473–1485. doi: 10.7326/0003-4819-12-9-1473
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Published: Ann Intern Med. 1939;12(9):1473-1485.
Infectious Disease, Streptococcal Infections.
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