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Published on: February 29, 2020
A case of cranial fasciitis masquerading as acute mastoiditis
L R Marshall1, R J Salib, T E Mitchell
1ENT Department, Poole Hospital NHS Trust, Poole, UK. lisamarshall@doctors.org.uk
Insights
This case report details a rare instance of infection complicating cranial fasciitis in an infant. Early diagnosis and understanding of cranial fasciitis are vital for appropriate patient management.
Area of Science:
- Pediatric Pathology
- Infectious Diseases
- Surgical Pathology
Background:
- Cranial fasciitis is a rare, benign variant of nodular fasciitis primarily affecting children.
- Understanding its distinct histopathological features is essential for accurate diagnosis.
Observation:
- A 10-week-old infant presented with signs of a subperiosteal abscess secondary to acute mastoiditis.
- The underlying condition was identified as a pre-existing cranial fasciitis.
Findings:
- This case represents the first reported instance of infection occurring against a background of cranial fasciitis.
- Histopathological examination is crucial for differentiating cranial fasciitis from other subperiosteal lesions.
Implications:
- Awareness of cranial fasciitis is critical for clinicians to ensure correct diagnosis and management.
- Further research into the aetiopathogenesis of cranial fasciitis is needed.
Objective:
We report a case of infection against a background of pre-existing cranial fasciitis.
Method:
Case report and review of world literature on cranial fasciitis.
Results:
Cranial fasciitis of childhood is a benign condition and a rare variant of nodular fasciitis. We present the case of a 10-week-old infant with symptoms and signs consistent with a subperiosteal abscess complicating acute mastoiditis. Subsequent findings showed this to be an infection against a background of pre-existing cranial fasciitis.
Conclusion:
To our knowledge, this is the first such reported case in the literature. Knowledge of the distinctive histopathological features, coupled with an awareness of the condition, are crucial to establishing a definitive diagnosis of cranial fasciitis and, in turn, to instituting appropriate management. The aetiopathogenesis of the condition remains unclear.
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