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[Acute external mastoiditis in children: report of a series of 48 cases]

M François1, T Van den Abbeele, P Viala

  • 1Service ORL, hôpital Robert-Debré, faculté Xavier-Bichat, 48, boulevard Sérurier, 75019 Paris, France. martine.francois@rdb.ap-hop-paris.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|October 31, 2001
PubMed

Insights

Penicillin-resistant Streptococcus pneumoniae is common in childhood acute mastoiditis, impacting treatment decisions. Clinical examination and CT scans are crucial for differentiating periostitis from mastoid abscess.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Otolaryngology

Context:

  • Acute mastoiditis is a serious complication of acute otitis media in children.
  • The rise of antibiotic-resistant bacteria presents challenges in managing pediatric infections.
  • Diagnostic imaging plays a vital role in assessing the severity and guiding treatment.

Purpose:

  • To investigate the influence of penicillin-resistant pneumococci on childhood acute mastoiditis incidence.
  • To evaluate the diagnostic utility of laboratory and imaging studies in acute mastoiditis management.

Summary:

  • A retrospective review identified 48 children with acute mastoiditis between 1993 and 2000.
  • Streptococcus pneumoniae was the most common pathogen (71% resistant to penicillin).
  • Clinical presentation and CT scans differentiated periostitis from mastoid abscess, guiding treatment (medical vs. surgical).

Impact:

  • Highlights the prevalence of antibiotic resistance in pediatric mastoiditis.
  • Emphasizes the importance of microbiological data and advanced imaging in clinical decision-making.
  • Informs treatment strategies for acute mastoiditis in the era of antimicrobial resistance.
Abstract

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