IN RECENT YEARS there has been some confusion in the minds of many physicians regarding the use of local and systemic antibiotic therapy in the treatment of chronic otitis media. Any cessation or reduction of otorrhea in any ear in which long-standing chronic otitis media is present is only transient. When cholesteatoma and granulations are present in the middle ear and the mastoid process, the cessation of otorrhea after antibiotic therapy may well lull both the physician and the patient into a state of false security. The activity of the cholesteatoma and granulations continues, and the risk of complications remains.
We are presenting a case in which the patient's chief complaints and symptoms were related to a prolonged febrile state and were not singly or collectively otogenic in nature.
A comprehensive review of the literature of these more-enlightened postantibiotic years fails to reveal any report of a similar problem. A