Case reports in pediatrics · 2026
Beyond Otitis Media: When Mastoiditis Leads to Life-Threatening Complications in Children.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dejhalla Ema, Ledić Ema Ahel, Žauhar Petar
Аннотация
INTRODUCTION: Acute mastoiditis, a complication of acute otitis media (AOM), remains a concern in children despite vaccines and antibiotics. Serious complications like cerebral venous sinus thrombosis (CVST) can be life-threatening.
CASE PRESENTATION: A 4-year-old girl with fever, vomiting, and ear pain worsened despite amoxicillin treatment, developing headache, neck stiffness, and drowsiness. An ENT examination showed thickened tympanic membranes. Neurological symptoms, including headache, drowsiness, and neck stiffness, prompted lumbar puncture and initiation of ceftriaxone, with elevated CRP and leukocytosis supporting the clinical suspicion. Imaging confirmed otomastoiditis with epidural extension and CVST. MRI confirmed intracranial complications, prompting anticoagulation. She underwent mastoidectomy and tympanostomy tube placement, recovering well.
CONCLUSION: Early imaging and multidisciplinary management are essential to prevent neurologic complications in children with mastoiditis.
CASE PRESENTATION: A 4-year-old girl with fever, vomiting, and ear pain worsened despite amoxicillin treatment, developing headache, neck stiffness, and drowsiness. An ENT examination showed thickened tympanic membranes. Neurological symptoms, including headache, drowsiness, and neck stiffness, prompted lumbar puncture and initiation of ceftriaxone, with elevated CRP and leukocytosis supporting the clinical suspicion. Imaging confirmed otomastoiditis with epidural extension and CVST. MRI confirmed intracranial complications, prompting anticoagulation. She underwent mastoidectomy and tympanostomy tube placement, recovering well.
CONCLUSION: Early imaging and multidisciplinary management are essential to prevent neurologic complications in children with mastoiditis.