Complications of mastoiditis in children at the onset of a new millennium
| Autor: | Eyal Raveh, Yael Oestreicher-Kedem, Aron Popovtzer, Ben I. Nageris, Nora Buller, Liora Kornreich |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
Mastoiditis medicine.medical_specialty Pediatrics Adolescent medicine.drug_class Antibiotics medicine.disease_cause 03 medical and health sciences Leukocyte Count 0302 clinical medicine White blood cell Streptococcus pneumoniae Medicine Humans 030223 otorhinolaryngology Child Retrospective Studies business.industry Infant Temporal Bone General Medicine medicine.disease Surgery Radiographic Image Enhancement Acute mastoiditis Otitis Media medicine.anatomical_structure Otorhinolaryngology El Niño 030220 oncology & carcinogenesis Child Preschool Acute Disease Middle ear Disease Progression Female business Complication Tomography X-Ray Computed |
| Zdroj: | The Annals of otology, rhinology, and laryngology. 114(2) |
| ISSN: | 0003-4894 |
| Popis: | The aim of the present study was to review our recent experience in the diagnosis and treatment of acute mastoiditis and its complications in a single tertiary-care, university-affiliated pediatric center. Ninety-eight children with 101 episodes of acute mastoiditis were included in the study. The mean interval from onset of illness to mastoiditis was 4.5 days. Ear cultures most often grew Streptococcus pneumoniae and Pseudomonas aeruginosa (23.7% each). Complications occurred in 15.8% of episodes. The only factor differentiating children with and without complications was white blood cell count. These findings indicate that acute mastoiditis not only is a complication of prolonged infection of the middle ear, but may also present as an acute infection of the mastoid bone that can progress within 48 hours. The complication rate remains high, and antibiotic treatment at the onset of symptoms does not prevent complications. A high white blood cell count on admission may serve as a predictive factor of complicated cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|