The nut issued spontaneously from the right side.

In the afternoon the auditory canal was found excoriated and red, and deep in the meatus the kernel was found, covered with blood.

The patient had been so excited and pained by the bungling attempts at extraction that the employment of instruments was impossible; prolonged employment of injections was substituted.
Discharge from the ear commenced, intense fever and delirium ensued, and the patient had to be chloroformed to facilitate the operation of extraction.

The nut, when taken out, was found to have a consistency much larger than originally, caused by the agglutination of wax and blood.

Unfortunately the symptoms of meningitis increased; three days after the operation coma followed, and on the next day death ensued.