不幸の転帰をとり剖検し得たるその成因に興味をおぼえた術後性耳性敗血症例について

抄録

Since introduction of the antibiotics, acute suppurative diseases have favourable outcomes, and it is rare to encounter postoperative sepsis.
Recently, however, authors treated a 25 year-old male patient with resistent acute superative otitis media. The petient was treated by antibiotics, several tympanitic paracentes is and a mastoid exploration. But all failed to impaove the patient. Following the mastoid exploration, he developed arthralgia, muscle sching, bloody stool, subcutaneous hemorrhage along with temperature elevation up to 38C. Diagnosis such as rheumatic fever, dysentery, purpura, leukemia, etc. were entertained but the patient died before the definitive diaguosis was establishea. Autopsy revealed that the patient died of sepsis. From the case presented, the authors cautioned that surgeons should be attentive not only of local postoperative wound healing but also of general condition.