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Clival Syndrome Secondary to Anaerobic Mastoiditis in A 2-Year-Old Child

Ron Jacob1, Sarit Ravid, Imad Kassis

  • 1From the *Department of Pediatrics B, †Pediatric Neurology Unit, ‡Pediatric Infectious Disease Unit, and §Department of Otolaryngology-Head and Neck Surgery, Ruth Rappaport Children's Hospital, Rambam Health Care Campus, Haifa, Israel.

The Pediatric Infectious Disease Journal
|July 13, 2015
PubMed

Insights

Acute mastoiditis can lead to rare clival syndrome complications affecting cranial nerves. This case highlights a child with mastoiditis and Lemierre syndrome, further complicated by clival syndrome.

Area of Science:

  • Otolaryngology
  • Neurology
  • Pediatric Infectious Diseases

Background:

  • Acute mastoiditis is a common complication of middle ear infections.
  • Clival syndrome, a rare complication, affects cranial nerves VI and XII.
  • Lemierre syndrome is a serious anaerobic bacterial infection.

Observation:

  • A pediatric patient presented with symptoms suggestive of mastoiditis and Lemierre syndrome.
  • The patient subsequently developed signs and symptoms indicative of clival syndrome.

Findings:

  • The case describes a rare instance of clival syndrome occurring secondary to mastoiditis.
  • The presumed Lemierre syndrome further complicated the clinical presentation.

Implications:

  • This case underscores the importance of recognizing rare complications of common infections.
  • Early diagnosis and management of mastoiditis and its sequelae are crucial.
  • Further research may elucidate the pathogenic mechanisms linking these conditions.

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