| Show t Daily HealtH Service 1 4 By Dy DR MORRIS FISHBEIN r Ed Editor Journal of the Medical l' Association and of Health Magazine Scarlet fever Is ordinarily aa it nd disease for most children Ther t. t occasional epidemics epidemic in which t I cases that 0 occur ur are arc much more se vere There are arc moreover instance in n which the complications are zoie- zoie so o lel ze I rious as to be ve more to life and d health than the disease itself itselL 4 The most frequent of ovy scarlet carlet fever is infection of the car Ul or sometimes of at the mastoid with the production of the condition called Around 10 oil per cent ot children who get scarlet fever alo have lave an Inflammation of the Internal internal Inter Inter- nal ear bu but the number of cas cases caze va ries in different epidemics fro from 1 4 4 per cent of all of those getting war ar let et fever to 25 per cent Probably one of the reasons why so many children with scarlet fever have i trouble rouble with the ear Is the fact that that v the throat is Invariably Infected The condition begins with inflammation of the throat and the spread of ot the infected material from the throat to the he e ear lr The spread takes place ce through the eustachian tube which passes lasses from the back of the n nose to the he car ear C S Frequently the Inflammation of the thi car is so sudden and the organism responsible so virulent that the first sign of the infection is the sudden discharge of at material from the ear Thus less than 24 hours may elapse clips between the first infection and the beginning of the discharge of the thep II pus However there are arc other cases In which the condition comes on more snore slowly In such cases high fever feyer severe pain in the car ear and ringing fa m In the he car ear are arc reactions t The diagnosis of this condition canje can be je made certain only by a compe competent tent physician an who will vill look into th thear the thear ear with a proper device for lighting and for magnifying the eardrum S He can tell from the D the he membrane whether or not theris there ther is is pressure and he can tell fromi color the severity seventy of or the inflammation Ot Of f course any patient with scarlet scarle fever should be bc promptly put to bed The throat may be treated by suit auit suitable suitable able measures including the use ol antiseptic washes and the of ice bags s. s When the infection o oc occurs curs in the ear car it Is highly to o permit the infected material t escape as soon as possible j There should be an opening of lh membrane under such circumstances for or the simple re reason lSon that it heals hul rapidly without any detrimental 1 tf feels to the ear Furthermore it h been seen shown in millions of cases r is which It has beers been done that th the thi mea measure sure ure actu actually llly serves to to benefitS benefit ty condition |