[Mastoiditis Caused by Fusobacterium Necrophorum: an Unusual Pathogen in a Well-Known Disease].

Acute mastoiditis is a well-recognized complication of acute otitis media. Despite the absence of a universally accepted standard of care, recent data indicate a global shift toward more conservative management, with escalation to invasive interventions primarily in the presence of complications or failure of initial therapy. The emergence of Fusobacterium necrophorum as an uncommon, yet clinically significant pathogen, challenges this paradigm and underscores the need for heightened vigilance among clinicians.