Acute mastoiditis in a child with a history of cochlear implantation : a case report
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 9 No. 1 (2023),
2 September 2023
,
Page 1-4
https://doi.org/10.22037/orlfps.v9i1.43123
Abstract
Background: Acute mastoiditis is one of the complications of acute otitis media in children. Patients with acute mastoiditis commonly have manifestations of acute otitis media and inflammation of the mastoid bone. Computed tomography is the most frequent diagnostic method for diagnosing acute mastoiditis. In this report, we presented a 6-year-old boy with a history of cochlear implantation three years ago, who was referred for acute swelling and pain in the mastoid bone one day ago.
Case presentation: A 6-year-old boy with fever, pain, redness, and swelling of the posterior side of his right ear from one day ago was referred to the clinic. Physical examination showed tenderness, redness, warmness, and swelling on the right auricle and mastoid bone. Implantation in the right ear about three years ago was mentioned. Last week, involvement with coryza, nasal congestion, and low-grade fever without ear pain was mentioned. Acute mastoiditis was confirmed with CT scanning, and he was cured with antibiotic therapy.
Discussion: Acute mastoiditis is not common. It may occur after a few times of cochlear implantation, but it occurs rarely after a long time. The main cause is bacterial infection. After confirmation of the diagnosis with CT scanning, treatment with antibiotics should be started intravenously, and then it can be changed to oral antibiotics.
Conclusion: Acute mastoiditis should be considered as a differential diagnosis in pediatrics with acute swelling, pain, and any manifestation of inflammation on mastoid bone, even though there is no history of acute otitis media.
- Acute mastoiditis, Cochlear Implantation, Child
How to Cite
References
Cassano P, Ciprandi G, Passali D. Acute mastoiditis in children. Acta Bio Medica: Atenei Parmensis. 2020;91(Suppl 1):54.
Quesnel S, Nguyen M, Pierrot S, Contencin P, Manach Y, Couloigner V. Acute mastoiditis in children: a retrospective study of 188 patients. International journal of pediatric otorhinolaryngology. 2010;74(12):1388-92.
Groth A, Enoksson F, Hultcrantz M, Stalfors J, Stenfeldt K, Hermansson A. Acute mastoiditis in children aged 0–16 years—a national study of 678 cases in Sweden comparing different age groups. International journal of pediatric otorhinolaryngology. 2012;76(10):1494-500.
Siddiq S, Grainger J. The diagnosis and management of acute otitis media: American Academy of Pediatrics Guidelines 2013. Archives of Disease in Childhood-Education and Practice. 2015;100(4):193-7.
Garcia C, Salgueiro AB, Luís C, Correia P, Brito MJ. Acute mastoiditis in children: middle ear cultures may help in reducing use of broad spectrum antibiotics. International Journal of Pediatric Otorhinolaryngology. 2017;92:32-7.
Ghadersohi S, Young NM, Smith‐Bronstein V, Hoff S, Billings KR. Management of acute complicated mastoiditis at an urban, tertiary care pediatric hospital. The Laryngoscope. 2017;127(10):2321-7.
Luntz M, Bartal K, Brodsky A, Shihada R. Acute mastoiditis: the role of imaging for identifying intracranial complications. The Laryngoscope. 2012;122(12):2813-7.
Chesney J, Black A, Choo D. What is the best practice for acute mastoiditis in children? The laryngoscope. 2014;124(5):1057-8.
Pang LH, Barakate MS, Havas TE. Mastoiditis in a paediatric population: a review of 11 years experience in management. International journal of pediatric otorhinolaryngology. 2009;73(11):1520-4.
Israeli A, Kosec A, Shochat I, Piras G, Braverman I, Klein A, et al. Analysis of Prognostic Factors Impacting Pediatric Acute Mastoiditis Outcomes. The Journal of International Advanced Otology. 2023;19(1):50.
Djeric DR, Folic MM, Blazic SR, Djoric IB. Acute mastoiditis in children as persisting problem. The Journal of International Advanced Otology. 2014;10(1):60.
Vincenti V, Pasanisi E, Bacciu A, Bacciu S. Long-term results of external auditory canal closure and mastoid obliteration in cochlear implantation after radical mastoidectomy: a clinical and radiological study. European Archives of Oto-Rhino-Laryngology. 2014;271:2127-30.
Raveh E, Ulanovski D, Attias J, Shkedy Y, Sokolov M. Acute mastoiditis in children with a cochlear implant. International Journal of Pediatric Otorhinolaryngology. 2016;81:80-3.
Chiu N-C, Lin H-Y, Hsu C-H, Huang F-Y, Lee K-S, Chi H. Epidemiological and microbiological characteristics of culture-proven acute otitis media in Taiwanese children. Journal of the Formosan Medical Association. 2012;111(10):536-41.
Psarommatis IM, Voudouris C, Douros K, Giannakopoulos P, Bairamis T, Carabinos C. Algorithmic management of pediatric acute mastoiditis. International journal of pediatric otorhinolaryngology. 2012;76(6):791-6.
Karaaslan A, Çetin C, Köle M, Avcı H, Akın Y. Acute Mastoiditis in Children: A Tertiary Care Center Experience in 2015–2021. Nigerian Journal of Clinical Practice. 2023;26(3).
Mansour T, Yehudai N, Tobia A, Shihada R, Brodsky A, Khnifies R, et al. Acute mastoiditis: 20 years of experience with a uniform management protocol. International Journal of Pediatric Otorhinolaryngology. 2019;125:187-91.
Brody AS, Frush DP, Huda W, Brent RL, Radiology So. Radiation risk to children from computed tomography. Pediatrics. 2007;120(3):677-82.
Edwards S, Kumar S, Lee S, Pali BL, Marek RL, Dutta A. Epidemiology and variability in management of acute mastoiditis in children. American Journal of Otolaryngology. 2022;43(5):103520.
Carmel E, Curotta J, Cheng A. Prognostic effect of pre-and post-admission antibiotic treatment in paediatric acute mastoiditis. The Journal of Laryngology & Otology. 2017;131(S1):S12-S7.
Bakhos D, Trijolet J-P, Morinière S, Pondaven S, Lescanne E. Conservative management of acute mastoiditis in children. Archives of Otolaryngology–Head & Neck Surgery. 2011;137(4):346-50.
- Abstract Viewed: 288 times
- PDF Downloaded: 260 times