Tuberculous otomastoiditis is a rare disease. Diagnosis generally occurs late when the patient already has irreversible sequelae. Two cases are reported with an unusual presentation of coalescent mastoiditis caused by . The patients underwent several antibiotic treatments without clinical improvement, evolving temporal bone erosion and severe/profound hearing loss. Maintaining a high degree of suspicion regarding this clinical entity is important to obtain an early diagnosis, contributing to better care for these patients and avoiding serious complications.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847159 | PMC |
| http://dx.doi.org/10.7759/cureus.77875 | DOI Listing |
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Tuberculosis Coalescent Mastoiditis: A Report of Two Rare Cases.
Cureus
January 2025
Department of Otolaryngology, Head and Neck Surgery, Hospital Getúlio Vargas/Faculty of Medicine of the State University of Piauí, Teresina, BRA.
Tuberculous otomastoiditis is a rare disease. Diagnosis generally occurs late when the patient already has irreversible sequelae. Two cases are reported with an unusual presentation of coalescent mastoiditis caused by .
View Article and Find Full Text PDFThe Significance of Subperiosteal Abscess Volume in Acute Mastoiditis.
Laryngoscope
February 2025
Departments of Otolaryngology-Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Objective: To determine whether the subperiosteal abscess (SPA) volume in acute coalescent mastoiditis (ACM) as measured in imaging studies, should influence the decision-making process between performing mastoidectomy versus needle aspiration or incision and drainage (I&D) as the initial treatment of SPA.
Setting: Single tertiary referral center.
Patients And Methods: The records of all pediatric patients admitted with ACM between 1/2012 and 12/2023 were retrospectively reviewed.
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.
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