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of increasing ill health and in October, 1923, developed
a toothache with local swelling of the face. On Decem-
ber 24, 1923, she had an upper and a lower right molar
pulled, a piece of decayed bone coming out with one of
these teeth. She then stopped work. Normal healing of
the jaw did not ensue; instead, a discharge of pus began
and persisted. Later, two other teeth at some distance
became affected and were extracted. When examined in
May, 1924, she had, in addition to the process in the
lower jaw, a new sinus in the upper jaw communicating
with the antrum, as shown by X-rays. Her appearance
was very bad; she had lost much weight and was very pale.
Her blood, on hieroscopical examination, showed a pro-
found anemia. She complained of pain in the bones of
her face, had considerable inconvenience from the dis-
charge of foul pus in her mouth and was forced to spend
much of her time in bed. She said, however, that of
late she had felt a little better -- a statement not
in accord with her appearance nor with the new septic
process. At the time of examination, this girl was in
an extremely serious condition.
X-ray films made May 7, 1924, showed necrosis
of the right upper maxilla with a great deal of clouding
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"ocrText": "2\nof increasing ill health and in October, 1923, developed\na toothache with local swelling of the face. On Decem-\nber 24, 1923, she had an upper and a lower right molar\npulled, a piece of decayed bone coming out with one of\nthese teeth. She then stopped work. Normal healing of\nthe jaw did not ensue; instead, a discharge of pus began\nand persisted. Later, two other teeth at some distance\nbecame affected and were extracted. When examined in\nMay, 1924, she had, in addition to the process in the\nlower jaw, a new sinus in the upper jaw communicating\nwith the antrum, as shown by X-rays. Her appearance\nwas very bad; she had lost much weight and was very pale.\nHer blood, on hieroscopical examination, showed a pro-\nfound anemia. She complained of pain in the bones of\nher face, had considerable inconvenience from the dis-\ncharge of foul pus in her mouth and was forced to spend\nmuch of her time in bed. She said, however, that of\nlate she had felt a little better -- a statement not\nin accord with her appearance nor with the new septic\nprocess. At the time of examination, this girl was in\nan extremely serious condition.\nX-ray films made May 7, 1924, showed necrosis\nof the right upper maxilla with a great deal of clouding"
}