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Published on: February 29, 2020
Intracranial complications of chronic suppurative otitis media in children
Maurício S Miura1, Rita C Krumennauer, José F Lubianca Neto
1Complexo Hospitalar Santa Casa, Porto Alegre.
Insights
Intracranial complications of otitis media remain a serious threat despite antibiotics, with high mortality. Early suspicion and identification of atypical cases are crucial for effective management.
Area of Science:
- Otolaryngology
- Pediatrics
- Infectious Diseases
Background:
- Intracranial complications of otitis media (OM) persist despite antibiotic use, posing significant mortality risks.
- Common presentations include meningitis, cerebral abscess, extradural abscess, and lateral sinus thrombophlebitis.
Observation:
- This study reviews six pediatric cases of intracranial complications secondary to otitis media.
- Cases were treated at Complexo Hospitalar Santa Casa de Porto Alegre over a two-year period.
Findings:
- A high index of suspicion is vital for early diagnosis and management.
- Antibiotic use can mask typical symptoms, necessitating identification of non-typical presentations.
Implications:
- Prompt recognition and intervention are critical to reduce the high mortality associated with these complications.
- Understanding atypical presentations is essential for timely and effective treatment in children and adolescents.
Unlabelled:
In spite of significant decrease after antibiotic advent, intracranial complications of otitis media still represent a challenging situation owing to its high mortality rate (36%). The most common presentations are meningitis, cerebral abscess, extradural abscess and lateral sinus thrombophlebitis. For early management, it is necessary to have a high index of suspicion. It is important to identify non-typical cases because they might be masqueraded by antibiotic use.
Aim:
We present six cases of intracranial complications due to otitis media in children and adolescents at Complexo Hospitalar Santa Casa de Porto Alegre for the past two years.
Study Design:
Series review.
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Etiology
Three primary contributing factors have been identified.
