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A correction has been published: N Engl J Med 2002;346(10):788.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 345:1901-1907 December 27, 2001 Number 26
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Case 40-2001— An Eight-Year-Old Boy with Fever, Headache, and Vertigo Two Days after Aural Trauma
Cliff A. Megerian, and Tessa A. Hadlock

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Presentation of Case

An eight-year-old boy was admitted to the Massachusetts Eye and Ear Infirmary because of fever, headache, vertigo, and vomiting.

The child had been well until two days before admission, when he became dizzy and nauseated immediately after being struck in the left ear by a baseball. He did not lose consciousness or have tinnitus, impairment of hearing, otorrhea, or rhinorrhea. An evaluation performed elsewhere showed erythema of the pinna and an unsteady gait. A cranial computed tomographic (CT) study was said to show no abnormality. Promethazine was prescribed, and the boy was sent home. On the next day, he was . . . [Full Text of this Article]

Differential Diagnosis

Immediate Effects of Aural Trauma

Perilymphatic Fistula

Labyrinthitis

Meningitis

Clinical Diagnosis

Dr. Cliff A. Megerian's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References




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