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Acute mastoiditis

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https://www.readbyqxmd.com/read/27895000/severe-acute-otitis-media-and-acute-mastoiditis-in-adults
#1
Anu Laulajainen Hongisto, Jussi Jero, Antti Markkola, Riste Saat, Antti A Aarnisalo
OBJECTIVE: To evaluate and compare clinical and microbiological findings in adults hospitalized for acute otitis media (AOM) or mastoid infections (acute or latent). MATERIALS AND METHODS: We retrospectively reviewed the medical records of all adults (≥17 years old) hospitalized (between 2003 and 2012) at a tertiary referral center for acute mastoid infections or AOM not responding to outpatient medical treatment. RESULTS: Of the 160 patients in the study sample, 19% had an infection caused by S...
November 28, 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27884592/nasopharyngeal-carcinoma-with-mastoid-recurrence-after-concurrent-chemoradiotherapy-masquerading-as-acute-otomastoiditis
#2
Chih-Yu Hu, Shiang-Fu Huang, Wan-Ling Ho, Wen-Yu Chuang, Kai-Chieh Chan
Nasopharyngeal cancer (NPC) with mastoid recurrence is extraordinarily rare, and its development is thought to involve the Eustachian tube. We herein report a case of NPC with mastoid recurrence masquerading as acute otomastoiditis with facial paralysis in a 60-year-old man 44 months after concurrent chemoradiotherapy. The diagnosis was confirmed by exploratory tympanomastoidectomy with biopsy and Epstein-Barr-encoding region (EBER) in situ hybridization. Distant liver metastasis was detected simultaneously, and the patient underwent salvage treatment...
November 21, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27879558/impact-of-pneumococcal-conjugate-vaccines-on-selected-head-and-neck-infections-in-hospitalized-israeli-children
#3
Tal Marom, Shiran Bookstein Peretz, Orna Schwartz, Abraham Goldfarb, Yahav Oron, Sharon Ovnat Tamir
INTRODUCTION: Streptococcus pneumoniae is a major pathogen of pediatric head and neck infections (HNIs), e.g. acute otitis media (AOM), acute mastoiditis (AM), acute bacterial sinusitis (ABS) and meningitis. The aim of the study was to characterize the epidemiology of pneumococcal HNIs (pHNIs) before, during, and after the introduction of pneumococcal conjugate vaccines (PCVs). METHODS: Children 0-16 years who were hospitalized with HNIs in the Pediatrics Department in a general hospital between 1/1/2007-12/31/2014 were retrospectively identified...
November 22, 2016: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27834169/persistent-fever-with-chills-and-an-endocardial-mass-in-a-child-an-unusual-presentation-of-hughes-stovin-syndrome
#4
Marianna Fabi, Francesca Lami, Maurizio Zompatori
A 12-year-old boy with a right atrium endocardial mass was initially diagnosed as having Lemierre's syndrome on the basis of previous mastoiditis and jugular vein and cerebral venous thrombosis. Lack of response to antibiotics, persistent high fever with chills, acute-phase reactants, and peripheral arterial pseudoaneurysms made us reconsider the diagnosis. Only after the late appearance of radiological pulmonary lesions and recognition of pulmonary artery aneurysms, Hughes-Stovin syndrome was diagnosed. Hughes-Stovin syndrome is an exceedingly rare vasculitis, especially in childhood, consisting of multiple pulmonary artery aneurysms and deep venous thromboses...
November 11, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27833713/extensive-cervicomediastinal-emphysema-from-mastoid-injury
#5
Yasmina Ahmed, Matthew Ng
Traumatic cervicomediastinal emphysema resulting from isolated head trauma is a rare occurrence. Herein, we describe a patient who sustained a closed mastoid injury after being struck with a batted baseball, resulting in acute extensive cervicomediastinal emphysema. Upon further assessment, the patient's aerodigestive tract was determined to have remained intact and unaffected by the injury. The source of soft-tissue air originated from the fractured mastoid. This case demonstrates the protective properties of a well-pneumatized mastoid...
November 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/27796038/management-of-acute-complicated-mastoiditis-at-an-urban-tertiary-care-pediatric-hospital
#6
Saied Ghadersohi, Nancy M Young, Virginia Smith-Bronstein, Stephen Hoff, Kathleen R Billings
OBJECTIVES/HYPOTHESIS: To describe the presentation and management of acute complicated mastoiditis in children. STUDY DESIGN: Retrospective case series. METHODS: An analysis of pediatric patients with acute complicated mastoiditis treated at an urban, tertiary care children's hospital from 2007 to 2014 was performed. RESULTS: Forty-eight patients presented with a total of 67 complications of acute mastoiditis. Mean age at presentation was 4...
October 31, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27748206/prognostic-effect-of-pre-and-post-admission-antibiotic-treatment-in-paediatric-acute-mastoiditis
#7
E Carmel, J H Curotta, A T Cheng
OBJECTIVE: To evaluate the effect of pre- and post-admission antibiotic treatment in paediatric acute mastoiditis. DESIGN: Retrospective study. METHOD: Eighty-eight children with acute mastoiditis, from 2003 to 2012, were studied to investigate the effect of antibiotic therapy on short and long-term sequelae. RESULTS: The median period of antibiotic therapy immediately following hospital discharge was 10 days (range, 5-49 days; standard deviation = 7...
October 17, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27737977/fusobacterium-infections-in-children
#8
Karen Arane, Ran D Goldman
QUESTION: A 2-year-old patient in my practice with acute otitis media that has progressed to mastoiditis with a high fever returns with positive culture results for Fusobacterium What should I do next? ANSWER: Fusobacterium is a genus of anaerobic bacteria. Although Fusobacterium infections are rare, they can become severe if not treated promptly. Appropriate treatment is combination antibiotic therapy consisting of a β-lactam (penicillin, cephalosporin) and an anaerobic antimicrobial agent (metronidazole, clindamycin)...
October 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27613655/differentiating-acute-otitis-media-and-acute-mastoiditis-in-hospitalized-children
#9
REVIEW
Anu Laulajainen-Hongisto, Antti A Aarnisalo, Jussi Jero
Acute otitis media is a common infection in children. Most acute otitis media episodes can be treated at an outpatient setting with antimicrobials, or only expectant observation. Hospital treatment with parenteral medication, and myringotomy or tympanostomy, may be needed to treat those with severe, prolonged symptoms, or with complications. The most common intratemporal complication of acute otitis media is acute mastoiditis. If a child with acute mastoiditis does not respond to this treatment, or if complications develop, further examinations and other surgical procedures, including mastoidectomy, are considered...
October 2016: Current Allergy and Asthma Reports
https://www.readbyqxmd.com/read/27476590/-bacterial-pathogens-causing-acute-otitis-media
#10
Hana Dojčárová
INTRODUCTION: The objectives were to assess the prevalence of etiological agents of acute otitis media (AOM) in children, age distribution of patients, frequency of the disease throughout the year, prescribed antibiotics, risk factors and complications. METHODS: Included in the study were 100 children and adolescents aged 0 to 18 years who had been diagnosed with AOM. From these patients, swabs for culture were obtained from the middle ear after paracentesis or perforation of the ear drum...
March 2016: Klinická Mikrobiologie a Infekc̆ní Lékar̆ství
https://www.readbyqxmd.com/read/27466885/the-role-of-bacteriologic-studies-in-predicting-recurrent-mastoiditis-in-456-patients
#11
Haim Gavriel, Rani Abu Eta, Ephraim Eviatar
OBJECTIVES: To evaluate the effect of microbiologic growth on the recurrence rate of mastoiditis. MATERIALS AND METHODS: A historical prospective study on all cases of children with acute mastoiditis (AM) admitted between 2000 and 2015, was performed. The following data were collected in the recurrent AM (rAM) group: age, sex, and medical history, antibiotic therapy before hospitalization, clinical presentation at admission including symptoms and signs, blood test results, computed tomography (CT) imaging, microbiological findings, treatment, complications, outcome, and follow-up duration...
September 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27197463/-extramedullary-relapse-of-acute-lymphoblastic-leukemia-in-the-mastoid-after-allogeneic-hematopoietic-stem-cell-transplantation-a-case-report
#12
Fangru Dong, Na Wang, Ruli Liu
Extramedullary relapse of acute lymphoblastic leukemia (ALL) in the mastoid after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is rare. In this paper, we describe such an uncommon case of extramedullary relapse of ALL in the mastoid. The patient, who had been diagnosed as having ALL and underwent an allo-HSCT from his matched sibling donor. Eight months after allo-HSCT, he presented with ear-ache, tinnitus. The middle ear mastoid CT revealed otomastoiditis. The patient underwent operation...
January 2016: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/27197460/-3-0-t-mri-observe-the-ears-and-sinus-damage-degree-of-patients-with-acute-carbon-monoxide-poisoning
#13
Linyi Jia, Yaqing Du, Fengxiao Gao, Yongcai Li, Xiaojuan Fan
OBJECTIVE: Through 3.0 T MRI study the ear and sinus lesions of patients with acute carbon monoxide poisoning. METHOD: From 2012 to 2015 collected the MRI images of the 45 patients with acute carbon monoxide poisoning, observe their changes of middle ear and mastoid and sinus imaging. RESULT: The middle ear injury of mastoid 41 cases (91.1%), 22 cases (48.9%) of maxillary sinus injury, ethmoid sinus injury in 20 cases (44.4%), sphenoid sinus 9 cases (20...
January 2016: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/27174338/a-toddler-with-rhabdomyosarcoma-presenting-as-acute-otitis-media-with-mastoid-abscess
#14
Sze Yin Ng, Bee See Goh
No abstract text is available yet for this article.
May 20, 2016: Chinese Medical Journal
https://www.readbyqxmd.com/read/27171806/acute-mastoiditis-caused-by-streptococcus-pneumoniae
#15
Emily Obringer, Judy L Chen
Acute mastoiditis (AM) is a relatively rare complication of acute otitis media (AOM). The most common pathogens include Streptococcus pneumoniae, Streptococcus pyogenes, and Staphylococcus aureus. Pneumococcal vaccination and changes in antibiotic prescribing recommendations for AOM may change the incidence of AM in the future. Diagnosis of AM can be made based on clinical presentation, but computed tomography of the temporal bone with contrast should be considered if there is concern for complicated AM. Both extracranial and intracranial complications of AM may occur...
May 1, 2016: Pediatric Annals
https://www.readbyqxmd.com/read/27151715/mastoiditis-and-facial-paralysis-as-initial-manifestations-of-temporal-bone-systemic-diseases-the-significance-of-the-histopathological-examination
#16
Alma Aurelia Maniu, Oana Harabagiu, Laura Otilia Damian, Eugen HoraŢiu Ştefănescu, Bogdan Marius FănuŢă, Andreea Cătană, Carmen Aurelia Mogoantă
UNLABELLED: Several systemic diseases, including granulomatous and infectious processes, tumors, bone disorders, collagen-vascular and other autoimmune diseases may involve the middle ear and temporal bone. These diseases are difficult to diagnose when symptoms mimic acute otomastoiditis. CASE REPORTS: The present report describes our experience with three such cases initially misdiagnosed. Their predominating symptoms were otological with mastoiditis, hearing loss, and subsequently facial nerve palsy...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27134881/endometrial-cholesterol-granuloma-associated-with-prolapsed-uterus-a-rare-case-report-with-unusual-clinical-presentation
#17
S Sumathi
Cholesterol granuloma is a chronic inflammatory reaction to cholesterol deposition. It may develop in variety of sites including middle ear, mastoid process, para nasal sinuses, mediastinum, breast, testis and kidney. But endometrial cholesterol granuloma is a rarely reported case and is usually presented clinically as pyometra. This article reports a case of cholesterol granuloma in the endometrium associated with prolapsed uterus. In this case the patient clinically presented with urinary retention and overflow incontinence of urine...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27091207/recurrent-mastoiditis-mimics-igg4-related-disease-a-potential-diagnostic-pitfall
#18
Vikram Deshpande, Nicolas A Zane, Stefan Kraft, John H Stone, William C Faquin
IgG4-related disease (IgG4-RD) is a recently recognized entity that causes progressive fibrosis and formation of mass lesions. IgG4-RD can be diagnosed histologically by its hallmarks of storiform fibrosis, prominent lymphoplasmacytic infiltrate, and obliterative phlebitis, accompanied by the infiltration of excessive numbers of IgG4-positive plasma cells as well as elevations in serum IgG4 concentrations. A recent publication reported a case of IgG4-RD in the mastoid sinus, representing a new anatomic location for this disease...
September 2016: Head and Neck Pathology
https://www.readbyqxmd.com/read/26991219/otogenic-lateral-sinus-thrombosis-in-children-a-review-of-7-cases
#19
Jesse T Ryan, Maria Pena, George H Zalzal, Diego A Preciado
Otogenic lateral sinus thrombosis (LST) is a rare but serious intracranial complication of acute or chronic otitis media. Reported mortality rates have ranged from 8 to 25%; the pediatric mortality rate might be as low as 5%. Controversy still exists over the medical and surgical management of this condition. We conducted a retrospective chart review of 7 cases of pediatric otogenic LST that were treated at our institution over a period of 8 years. We hypothesized that good outcomes in very sick patients can be achieved by aggressively managing the mastoid cavity and without the need for a thrombectomy...
March 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/26941013/a-multi-centre-open-label-randomised-non-inferiority-trial-comparing-watchful-waiting-to-antibiotic-treatment-for-acute-otitis-media-without-perforation-in-low-risk-urban-aboriginal-and-torres-strait-islander-children-the-watch-trial-study-protocol-for-a-randomised
#20
Penelope Abbott, Hasantha Gunasekera, Amanda Jane Leach, Deborah Askew, Robyn Walsh, Kelvin Kong, Federico Girosi, Chelsea Bond, Peter Morris, Sanja Lujic, Wendy Hu, Tim Usherwood, Sissy Tyson, Geoffrey Spurling, Markeeta Douglas, Kira Schubert, Shavaun Chapman, Nadeem Siddiqui, Reeion Murray, Keitha Rabbitt, Bobby Porykali, Cheryl Woodall, Tina Newman, Jennifer Reath
BACKGROUND: Treatment guidelines recommend watchful waiting for children older than 2 years with acute otitis media (AOM) without perforation, unless they are at high risk of complications. The high prevalence of chronic suppurative otitis media (CSOM) in remote Aboriginal and Torres Strait Islander communities leads these children to be classified as high risk. Urban Aboriginal and Torres Strait Islander children are at lower risk of complications, but evidence to support the subsequent recommendation for watchful waiting in this population is lacking...
2016: Trials
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