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Mastoid subperiosteal abscess.

D B Hawkins, D Dru

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |June 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Surgery for acute mastoiditis in children was indicated by subperiosteal abscess. Streptococcus pyogenes, Streptococcus pneumoniae, and Mycobacterium tuberculosis were common pathogens identified in these pediatric cases.

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    Area of Science:

    • Otolaryngology
    • Pediatric Infectious Diseases
    • Microbiology

    Background:

    • Acute mastoiditis is a significant pediatric infection.
    • Subperiosteal abscess necessitates surgical intervention in pediatric mastoiditis.
    • Understanding causative pathogens is crucial for effective treatment.

    Purpose of the Study:

    • To analyze the microbiological findings in children with acute mastoiditis and subperiosteal abscess.
    • To identify common bacterial and mycobacterial pathogens.
    • To evaluate the optimal timing for bacterial cultures.

    Main Methods:

    • Retrospective review of pediatric patients undergoing mastoidectomy for acute mastoiditis since 1972.
    • Analysis of surgical indications, specifically subperiosteal abscess.

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  • Bacteriologic culture results from abscess samples were examined.

    • Main Results:

    • Nineteen pediatric patients with subperiosteal abscess requiring mastoidectomy were identified.
    • Common pathogens included Streptococcus pyogenes, Streptococcus pneumoniae, and Mycobacterium tuberculosis.
    • Cultures yielded higher positivity rates when obtained before or early in antibiotic therapy.

    Conclusions:

    • Subperiosteal abscess is the primary surgical indication for pediatric acute mastoiditis.
    • Diverse pathogens, including Streptococcus species and M. tuberculosis, can cause this condition.
    • Prompt abscess culture is vital for accurate microbiologic diagnosis in pediatric mastoiditis.