Gangrene affecting the ear is a very rare disease. It is mentioned in but three out of seven books on the ear, in my library. I have never seen a case in private practice, nor in my service at the various hospitals and dispensaries, until the following one appeared at my clinic at the Illinois Charitable Eye and Ear Infirmary: Jan. 8, 1896, George T., 2 years old, was admitted as a house case. Five months ago he was placed by his mother in an orphan asylum. Two months ago suppuration of the right middle ear developed and continued to the present time, and five days since, the concha turned black and emitted a foul stench. The characteristics of the pulpy form of hospital gangrene were present, and Dr. Lieberthal, the dermatologist, who saw the case with me, confirmed the diagnosis of gangrene. The necrotic process involved both anterior and