Transactions . y variations of from six to eightdegrees for ten days, during which ])eriod the child at notime appeared particularly ill, and, when her temperat\irewas low, would sit up in bed, i)lay with her toys, take nour-ishment, and evince her usual interest in childish the onset of the high temperature, she became irritableand drowsy, but at no time had she a septic appearance. Acopious discharge appeared from each ear, the drainage wasajiparently perfect, and myringotomy was not repeated. Asmear made from the discharge showed the infection to bestreptococcus. No blood coun


Transactions . y variations of from six to eightdegrees for ten days, during which ])eriod the child at notime appeared particularly ill, and, when her temperat\irewas low, would sit up in bed, i)lay with her toys, take nour-ishment, and evince her usual interest in childish the onset of the high temperature, she became irritableand drowsy, but at no time had she a septic appearance. Acopious discharge appeared from each ear, the drainage wasajiparently perfect, and myringotomy was not repeated. Asmear made from the discharge showed the infection to bestreptococcus. No blood count was made. With the subsidence of the high temperatures, siu madean uneventful recovery. At Hie time the observation wasmade, blood cultuj-es had not been resorted to, and only theconfident trust i-eposed by the parents in tiu* assurances ofthe doctoi-s that the child was not in danger prevented thejierformaiHc of a needless doulde mastoid ojieration. Hadthe paieuls been of the nervous and apprehensive kind we. O^ QC r^ 0-. c. o^ TEMPERATURE (FAHRENHEIT.) TKMPKUATUnK CHANGES IN INFANTS. 29 fould not liiivc (((Ml fi)lli(l lliciri and would have hccii oMigedto operate. When a focus of suppuration exists wlii(di we ean elearlysee,—as, for instanee, a suppurating ear with tlie eapahiliticsof whieh foi- producing serious trouble we are all well in-formed,—it is difficult for us to ascribe manifestations wliichmay accompany such suppuration to the possible existenceof other causes whicli we not only cannot see, but demonstrate to be present. None the less, itinvolves no great tax upon the memory of any of us torecall one or more cases in which we were strongly disposedto operate on the mastoid, notwithstanding the absence ofmany of the classical symptoms, because of the persistenthi^h or rapidly changing temperature, but upon summoningsufficient courage to wait a little longer the solution of thedifficulty was suddenly reached in the discovery of a centralpn


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Keywords: ., boo, bookcentury1800, bookdecade1860, booksubjectear, bookyear1868