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耳性側頭葉膿瘍については,各方面から研究され多数の報告が今日までなされているが,プロテウス菌によるものは,発生頻度が少く,且つ予後良好ならざるものとされている。私は此度プロテウス菌を起炎菌とする,耳真珠腫を伴つた慢性化膿性中耳炎から右側頭葉膿瘍を続発し,不幸なる転機を取つた一症例に遭遇し,死後剖検し得たので報告する。
TAKEDA reports a case of intracranial abcess that originated from otitic infections. The patient died. The diagnosis of cholestea-tomatous otitis media with cerebral involve-ment the offending organism of which being Preteus Vulgaris was established. Operation on the temporal bone with ample drainage of the cerebral abcess that was supplemented by use of aureomycin, streptomycin, penicillin and sulfa drugs were without avail. Necropsy showed that the infection had spread from the mastoid cells into the cerebrum and, thence, into the cerebellum where an abcess that measured 7×5cm was found.
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