Document Detail


Clinical experiences with acute mastoiditis--1988 through 1998.
MedLine Citation:
PMID:  11107691     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of acute mastoiditis has declined dramatically during the postantibiotic era. Even so, antibiotic-resistant or unusual pathogens can still cause this disease entity. At our hospital, we documented an increase in antibiotic-resistant and atypical pathogens such as Actinomyces spp. and Mycobacterium tuberculosis. In this paper, we discuss the optimal diagnosis and treatment strategy for acute mastoiditis, and we describe our retrospective review of 13 patients with mastoiditis who were treated at our hospital from 1988 through 1998. Eight of these patients recovered following treatment with intravenous antibiotics, with or without myringotomy, and five who had complications of disease were managed surgically. Among these five, one developed chronic otitis media and one developed cholesteatoma 3 years later. For patients with acute mastoiditis, we emphasize the need to be aware of any unusual pathogens that do not respond to empiric antibiotic therapy.
Authors:
E S Lee; S W Chae; H H Lim; S J Hwang; H K Suh
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  79     ISSN:  0145-5613     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-27     Completed Date:  2000-12-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  884-8, 890-2     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University, Seoul.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Anti-Bacterial Agents / administration & dosage
Child
Child, Preschool
Chronic Disease
Diagnosis, Differential
Female
Humans
Infant
Injections, Intravenous
Male
Mastoiditis* / diagnosis,  drug therapy,  microbiology,  surgery
Otitis Media / etiology,  microbiology
Otologic Surgical Procedures / methods*
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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