Two cases of acute mastoiditis requiring emergency mastoidectomy following treatment by pediatrician

Tetsuya Sato, Naoki Oishi, Yasuhiko Takei, Naoyuki Kohno

Research output: Contribution to journalArticlepeer-review

Abstract

Advances in broad-spectrum antibiotics are enabling general physicians and pediatricians to treat acute middle-ear infection without otolaryngologists' intervention. Most such subjects also recover without serious complications. Middle-ear infection remains potentially life-threatening, however, due to potential infectious intracranial complications, requiring surgery by otolaryngologists. We report two cases of acute pediatric mastoiditis following acute otitis media. Both had been initially treated by pediatricians and administered several antibiotics. One subject had masked mastoiditis when first seen and the other serious complications involving intracranial infection thought due to comorbid congenital cholesteatoma. Both were treated successfully with mastoidectomies followed by intravenous antibiotic therapy.

Original languageEnglish
Pages (from-to)859-863
Number of pages5
JournalPractica Oto-Rhino-Laryngologica
Volume104
Issue number12
DOIs
Publication statusPublished - 2011 Dec
Externally publishedYes

Keywords

  • Acute mastoiditis
  • Acute otitis media
  • Mastoidectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

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