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Updated: May 17, 2025


That in nervous children the temperature may be very considerably elevated without our being able to detect much that is amiss does not of course make it any the less necessary to be careful to exclude organic disease. Pyelitis, tuberculosis, and latent otitis media occur with nervous children as with others and must not be overlooked.

Some writers describe, under the head of canker, a violent chronic otitis, attended by a purulent sanguinoid discharge. Others understand by canker a species of erysipelatous inflammation, that makes its appearance on the inside of the flap, and extends itself to the interior of the ear.

Nasal catarrh, bronchitis, otitis media, enteritis, eczema, urticaria papulata, are apt to follow each other in turn, giving rise in many cases to a persistent enlargement of the corresponding lymphatic glands. The effect upon the different tissues of the body of these repeated infections is very various.

During a great many years the young prince suffered from what is called technically otitis media, namely, a disease of the middle ear, very painful, exasperating and even somewhat humiliating to endure, and which he must have inherited in some extraordinary way from his great-uncle, King William IV. of Prussia, who died insane.

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