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http://dx.doi.org/10.14776/kjpid.2014.21.2.144

A Case of Epidural Abscess Complicated from Acute Mastoiditis Caused by Streptococcus pneumoniae  

Choi, Jee-Hyun (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Kim, Min-Sung (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Kim, Jong-Hyun (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Son, Byung-Chul (Department of Neurosurgery, College of Medicine, The Catholic University of Korea)
Kim, Seong Joon (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Park, So Hyun (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Lee, Jung Hyun (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Oh, Jin Hee (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Koh, Dae Kyun (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
Publication Information
Pediatric Infection and Vaccine / v.21, no.2, 2014 , pp. 144-149 More about this Journal
Abstract
Acute otitis media (AOM) is one of the most common childhood infectious diseases. Despite antibiotic treatment for AOM, AOM and its complication still continue to develop. Acute mastoiditis is a serious complication of AOM and epidural abscess constitutes the commonest of all intracranial complication of AOM. Neurological complication of acute mastoiditis are rare but can be life threatening. Their presentation may be masked by the use of antibiotics. We report the rare case of acute otitis media progressing to acute mastoiditis, epidural abscess formation and lateral sinus thrombophlebitis caused by Streptococcus pneumoniae in a child. She was admitted with acute otitis media with fever. Despite proper antibiotics, acute mastodititis and epidural abscess were developed, and after surgical drainage and antibiotics therapy she was recovered without sequalae.
Keywords
Epidural abscess; Mastoiditis; Otitis media; Streptococcus pneumoniae;
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  • Reference
1 Samuel J, Fernandes CM, Steinberg JL. Intracranial otogenic complications: a persisting problem. Laryngoscope 1986;96:272-8.
2 Proctor CA. Intracranial complications of otitic origin. Laryngoscope 1966;76:288-308.   DOI   ScienceOn
3 Gower D, McGuirt WF. Intracranial complications of acute and chronic infectious ear disease: a problem still with us. Laryngoscope 1983;93:1028-33.
4 Kangsanarak J, Fooanant S, Ruckphaopunt K, Navacharoen N, Teotrakul S. Extracranial and intracranial complications of suppurative otitis media. Report of 102 cases. J Laryngol Otol 1993;107:999-1004.
5 Goldstein NA, Casselbrant ML, Bluestone CD, Kurs-Lasky M. Intratemporal complications of acute otitis media in infants and children. Otolaryngol Head Neck Surg 1998;119:444-54.   DOI   ScienceOn
6 Leskinen K. Complications of acute otitis media in children. Curr Allergy Asthma Rep 2005;5:308-12.   DOI
7 Pennybacker J, Dixon JW, Fulton Christie J, Dawes JD. Discussion on intracranial complications of otogenic origin. Proc R Soc Med 1961;54:309-20.
8 Rosen A, Ophir D, Marshak G. Acute mastoiditis: a review of 69 cases. Ann Otol Rhinol Laryngol 1986;95:222-4.   DOI
9 Go C, Bernstein JM, de Jong AL, Sulek M, Friedman EM. Intracranial complications of acute mastoiditis. Int J Pediatr Otorhinolaryngol 2000;52:143-8.   DOI   ScienceOn
10 Holt GR, Gates GA. Masked mastoiditis. Laryngoscope 1983;93:1034-7.
11 Luntz M, Keren G, Nusem S, Kronenberg J. Acute mastoiditis-revisited. Ear Nose Throat J 1994;73:648-54.
12 Givon-Lavi N, Fraser D, Dagan R. Vaccination of daycare center attendees reduces carriage of Streptococcus pneumoniae among their younger siblings. Pediatr Infect Dis J 2003;22:524-32.
13 Millar EV, Watt JP, Bronsdon MA, Dallas J, Reid R, Santosham M, et al. Indirect effect of 7-valent pneumococcal conjugate vaccine on pneumococcal colonization among unvaccinated household members. Clin Infect Dis 2008;47:989-96.   DOI   ScienceOn
14 Zapalac JS, Billings KR, Schwade ND, Roland PS. Suppurative complications of acute otitis media in the era of antibiotic resistance. Arch Otolaryngol Head Neck Surg 2002;128:660-3.   DOI
15 Taylor MF, Berkowitz RG. Indications for mastoidectomy in acute mastoiditis in children. Ann Otol Rhinol Laryngol 2004;113:69-72.   DOI
16 Lahav J, Handzel O, Gertler R, Yehuda M, Halperin D. Postauricular needle aspiration of subperiosteal abscess in acute mastoiditis. Ann Otol Rhinol Laryngol 2005;114:323-7.   DOI
17 Park H, Jang H, Shim D, Shin H, Ahn J, Shin J. Surgical management of acute mastoiditis with epidural abscess. Acta Otolaryngol 2006;126:782-4.   DOI   ScienceOn
18 Kangsanarak J, Navacharoen N, Fooanant S, Ruckphaopunt K. Intracranial complications of suppurative otitis media: 13 years' experience. Am J Otol 1995;16:104-9.