Since the introduction of sulfonamides in the late 1930s, coalescent mastoiditis is an uncommon complication of otitis media. Swelling, erythema, and tenderness over the mastoid area with associated anterior displacement of the auricle are classic signs and symptoms of coalescent mastoiditis with formation of a subperiosteal abscess. Early recognition of this entity is essential to prevent its complications. Prompt otolaryngologic consultation is indicated and inpatient antibiotic therapy should be begun. Surgical treatment is also needed and may obviate further complications.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/0735-6757(89)90051-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Bezold's abscess, an uncommon complication of otitis media and cholesteatoma: a case report.
J Med Case Rep
July 2024
Department of Internal Medicine, Carilion Clinic, Roanoke, VA, USA.
Background: Mastoiditis frequently occurs in children as they are more susceptible to middle ear infections, but infrequently occurs in adults. A rare complication that results from mastoiditis and an obstructing cholesteatoma is a Bezold's abscess, of which there are less than 100 reported cases in literature to date.
Case Presentation: Here, we present a case of a 72-year-old Caucasian man who has had no history of prior ear infections and was found to have a cholesteatoma and advanced acute coalescent mastoiditis complicated by a Bezold's abscess.
Clarifying the Diagnosis and Management of Acute Uncomplicated Pediatric Mastoiditis.
Ann Otol Rhinol Laryngol
September 2024
Department of Surgery, Division of Otolaryngology Head and Neck Surgery, University of New Mexico, Albuquerque, NM, USA.
Introduction: Acute pediatric mastoiditis is a bacterial infection of the mastoid bone most commonly associated with acute otitis media. Complicated mastoiditis is traditionally characterized by intracranial complications or subperiosteal abscess, but definitions are inconsistent in the literature. Surgical intervention is identified as the main treatment for complicated mastoiditis, but there is some evidence to support medical management of uncomplicated mastoiditis.
View Article and Find Full Text PDFEvolving microbial patterns of acute mastoiditis in pediatric patients undergoing mastoidectomy.
Int J Pediatr Otorhinolaryngol
September 2023
Indiana University School of Medicine, Indianapolis, IN, USA; Indiana University Department of Otolaryngology-Head and Neck Surgery, Indianapolis, IN, USA; Eskenazi Health Ear, Nose, and Throat and Audiology, Indianapolis, IN, USA. Electronic address: http://sburgin.iupui.edu.
Article Synopsis
- The study aimed to analyze the microbial patterns and outcomes of pediatric patients who underwent mastoidectomy for acute coalescent mastoiditis, focusing on factors linked to poor outcomes.
- Researchers examined 46 patients from a large hospital database, noting that S. pyogenes and S. pneumoniae were the most common bacteria found, while a significant portion of cultures showed no growth.
- Results indicated that patients with negative cultures had longer hospital stays and a higher need for additional medical interventions, with female gender emerging as a significant factor associated with positive culture results.
Acute Bacterial Meningitis and Petrous Apicitis in a Child with Aplasia Cutis Congenita: A Case Report.
J Int Adv Otol
July 2023
Department of Paediatrics, KS Hegde Medical Academy, NITTE (deemed to be University), Mangalore, India.
Petrous apicitis and acute bacterial meningitis are uncommon in the present antibiotic era. The diagnosis of petrous apicitis is seldom considered unless there is cranial nerve palsy. A young child with aplasia cutis congenita presented with acute bacterial meningitis and an incidental opacified left mastoid in brain imaging.
View Article and Find Full Text PDFWant 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!