Diagnosis and management of acute mastoiditis in a cohort of Italian children.

Expert Rev Anti Infect Ther

Department of Pathophysiology and Transplantation, Pediatric Highly Intensive Care Unit, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122 Milan, Italy.

Published: December 2014

Objective: The Italian Society for Pediatric Infectious Diseases created a registry to determine the management of pediatric acute mastoiditis (AM) in Italy.

Methods: A cross-sectional survey of paediatricians was conducted to evaluate hospitalization due to AM in Italian pediatric wards between 1 January 2002, and 31 December 2013.

Results: A total of 913 children (561 males, 61.4%) were included in this study. The annual number of AM cases significantly increased during the study period (30 in 2002 and 98 in 2013) but only among older children (≥ 4 years old; p = 0.02). AM complications occurred in 69 (7.6%) of the children and sequelae were observed in 13 (1.4%) patients.

Conclusion: The annual number of pediatric AM cases admitted to Italian pediatric wards increased in the past few years; this increase was strictly age-related. The risk of severe AM complications appeared relatively low, and most AM cases could be treated conservatively.

Download full-text PDF

Source
http://dx.doi.org/10.1586/14787210.2014.982093DOI Listing

Publication Analysis

Top Keywords

acute mastoiditis
8
italian pediatric
8
pediatric wards
8
annual number
8
pediatric
5
diagnosis management
4
management acute
4
mastoiditis cohort
4
italian
4
cohort italian
4

Similar Publications

To exploring the value of MR neuroimaging for quantitative assessment of the facial nerve and peripheral lymph nodes in patients with acute peripheral facial paralysis. Based on a prospective experimental design, 32 patients with idiopathic peripheral facial palsy were enrolled in the experiment. Based on MR neuroimaging technology, MR high-resolution thin-layer images of bilateral facial nerves were acquired.

View Article and Find Full Text PDF

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 PDF

Acute 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.

View Article and Find Full Text PDF

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 PDF

Long-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 PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!