Acute Mastoiditis — Revisited

Luntz, Michał; Keren, G; Nusem, S; Kronenberg, Jona

doi:10.1177/014556139407300907

Cited by 43 publications

(27 citation statements)

References 14 publications

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“…When antibiotics came into common use, Pseudomonas isolation was still reported, but at much lower rates than in our study (3.6%-16%). 2,5,9,19,20,28 Children with Pseudomonas infection in our sample were older (>2 years) and had had recurrent otitis media. Most received antibiotic therapy before admission, and had probably received several APRIL 2004 CLINICAL PEDIATRICS 265 courses in the past.…”

Section: Discussionmentioning

confidence: 92%

Acute Mastoiditis in Children: Epidemiologic, Clinical, Microbiologic, and Therapeutic Aspects over Past Years

Nussinovitch

Yoeli

Elishkevitz

et al. 2004

Clin Pediatr (Phila)

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Recent studies have indicated possible changes in the incidence of acute mastoiditis. A retrospective review of children discharged with a diagnosis of acute mastoiditis was undertaken to describe the epidemiology, clinical presentation, microbiology, and treatment of acute mastoiditis over past years. Demographic historic, clinical, and laboratory data were collected. Eighty-six children (88 episodes of acute mastoiditis) were identified (1 month-16 years) (median 3.3 years). Almost half had a history of middle ear disease; 8% recurrent episodes and 68.2% received antibiotics preadmission, 91.2% for acute otitis media. Bacterial etiology was established in 43 patients (68.2% isolation rate). Pseudomonas aeruginosa and Streptococcus pneumoniae were the most frequently isolated agents. This review showed a significant increase (150%) in the number of patients with acute mastoiditis.

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Section: Discussionmentioning

confidence: 92%

Acute Mastoiditis in Children: Epidemiologic, Clinical, Microbiologic, and Therapeutic Aspects over Past Years

Nussinovitch

Yoeli

Elishkevitz

et al. 2004

Clin Pediatr (Phila)

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“…Retro auricular area: swelling/erythema/tenderness AND/OR Anteroinferior displacement of the auricle WITH OR WITHOUT Acute otitis media data: 9-54% [9,10,12,13,16,17,[18][19][20][21]. The culture negativity was not correlated to the failures but was more frequent in lateral sinus thrombosis cases.…”

Section: [ ( ) T D $ F I G ]mentioning

confidence: 99%

Acute mastoiditis in children: A retrospective study of 188 patients

Quesnel

Nguyen

Pierrot

et al. 2010

International Journal of Pediatric Otorhinolaryngology

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“…Extension of the infectious process beyond the mastoid system can lead to a variety of intracranial and extracranial complications, including meningitis; epidural, subdural, and intraparenchymal abscesses; vascular thrombosis; osteomyelitis; and abscesses deep within the neck (Fig 1). The severity of these complications underlines the importance of clinical awareness and early imaging diagnosis to establish suitable treatment (7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Imaging of Complications of Acute Mastoiditis in Children

Vázquez¹,

Castellote²,

Piqueras³

et al. 2003

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Acute mastoiditis is a serious complication of acute otitis media in children. Suppurative disease in the mastoid region occasionally spreads to the adjacent dura mater of the posterior and middle cranial fossae and the sigmoid sinus by means of thrombophlebitis, osseous erosion, or anatomic pathways, producing intracranial complications. Computed tomography (CT) should be performed early in the course of the disease to classify the mastoiditis as incipient or coalescent and to detect intracranial complications. On the basis of the clinical features and imaging findings, the disease is managed conservatively with intravenously administered antibiotics or treated with mastoidectomy and drainage plus antibiotic therapy. CT is therefore a decisive diagnostic tool in determining the type of therapy. In addition, magnetic resonance imaging is performed in patients with clinical symptoms or CT findings suggestive of intracranial complications because of its higher sensitivity for detection of extraaxial fluid collections and associated vascular problems.

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Acute Mastoiditis — Revisited

Cited by 43 publications

References 14 publications

Acute Mastoiditis in Children: Epidemiologic, Clinical, Microbiologic, and Therapeutic Aspects over Past Years

Acute Mastoiditis in Children: Epidemiologic, Clinical, Microbiologic, and Therapeutic Aspects over Past Years

Acute mastoiditis in children: A retrospective study of 188 patients

Imaging of Complications of Acute Mastoiditis in Children

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