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Lessons of the month: Cerebrospinal Fluid Leak-associated Ventriculitis - a case report.
Clin Med (Lond)
December 2024
Internal Medicine trainee, St Mary's Hospital, Praed street, London, W2 1NY, UK. Electronic address:
We present a case of a 74-year-old woman with headaches, pyrexia, and intermittent right-sided otorrhoea and rhinorrhoea. Her nasal discharge tested positive for Beta-2-Transferrin, confirming a cerebrospinal fluid (CSF) leak. High-resolution CT (HRCT) mastoids showed a defect in the right tegmen, and CSF within the middle ear and mastoid air cells.
View Article and Find Full Text PDFAcute mastoiditis: 30 years review in a tertiary hospital.
Int J Pediatr Otorhinolaryngol
December 2024
Department of Otolaryngology, Marqués de Valdecilla University Hospital, Santander, Spain; Institute of Research Valdecilla (IDIVAL), Santander, Spain; Department of Medical and Surgical Sciences, University of Cantabria, Santander, Spain.
Objective: Acute mastoiditis, the most common complication of acute otitis media, is approached in our study, focused on children from the Autonomous Community of Cantabria, Spain. The aim is to analyze its clinical-epidemiological characteristics and propose diagnostic and treatment recommendations.
Study Design/setting: We conducted a 30-year retrospective study on patients under 18 years of age diagnosed with acute mastoiditis in Cantabria.
Navigating the Complication: Acute Mastoiditis Causing Cerebral Venous Thrombosis in an Adult.
Cureus
November 2024
Internal Medicine/Critical Care Medicine, University of California, Los Angeles (UCLA) - Kern Medical, Bakersfield, USA.
Acute mastoiditis is an infection of the air cells in the mastoid and is primarily seen in the pediatric population. This disease usually occurs after patients develop otitis media, which can result in acute mastoiditis as a complication. Most patients usually present with generalized symptoms of an infection; however, in some instances, cerebral venous thrombosis can occur.
View Article and Find Full Text PDFLong-term outcomes of surgical treatment for paediatric acute mastoiditis: the role of mastoidectomy.
Eur Arch Otorhinolaryngol
December 2024
Department of Otorhinolaryngology-Head and Neck Surgery, University Clinical Center Maribor, Ljubljanska 5, 2000, Maribor, Slovenia.
Purpose: Despite the declining incidence of acute mastoiditis (AM) due to antibiotics, complications persist, necessitating surgical intervention in severe cases. Recent studies suggest conservative treatments, avoiding mastoidectomy, show high recovery rates. However, this trend raises concerns about severe complications, prolonged treatment, increased antibiotic use, and declining surgical skills.
View Article and Find Full Text PDFAudiometric Outcomes in Chronic Otitis Media with Mastoid Involvement: A Five-Year Clinical Overview.
Diagnostics (Basel)
November 2024
Department of Mother and Baby, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Otomastoiditis, an inflammatory condition affecting the middle ear and mastoid cells, poses significant risks for hearing impairment. This study aimed to analyze the clinical presentations, anatomical variations, and audiometric outcomes associated with acute and chronic otomastoiditis over a five-year period at the ENT Clinic of the Clinical County Emergency Hospital of Craiova. A retrospective clinical-statistical analysis was conducted on 145 patients aged 2 to 78 years, who were treated for otomastoiditis.
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