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Acute Salmonella mastoiditis in an infant
D M Kaplan1, A Leiberman, A Noghreyan
1Department of Otolaryngology, Head and Neck Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Abstract:
During the last few decades antibiotics have played an extremely important role in the management of otitis media (OM). Nowadays there are only sporadic reports of its sequelae and complications in the developed countries. Nevertheless, complications of OM still arise and the potential seriousness of this problem emphasizes the need for a high degree of monitoring. We report herewith a case of acute mastoiditis in an 18-month-old infant with chronic suppurative otitis media (CSOM). Repeated cultures from the middle ear and mastoid cavity yielded Salmonella type C. The treatment modality and the pathophysiologic aspects are discussed.
Insights
A rare Salmonella type C infection caused acute mastoiditis in an infant with chronic suppurative otitis media. This case highlights the need for monitoring otitis media complications despite antibiotic advancements.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Pediatrics
Background:
- Antibiotics are crucial for managing otitis media (OM), reducing its complications in developed nations.
- Despite advancements, serious complications of OM can still occur, necessitating vigilant monitoring.
- Chronic suppurative otitis media (CSOM) is a persistent middle ear infection.
Observation:
- This report details a case of acute mastoiditis in an 18-month-old infant.
- The infant presented with chronic suppurative otitis media (CSOM).
Findings:
- Cultures from the infant's middle ear and mastoid cavity isolated Salmonella type C.
- This indicates a rare bacterial cause for the mastoiditis complication.
Implications:
- This case underscores the importance of considering uncommon pathogens in OM complications.
- It highlights the need for continued surveillance and appropriate antimicrobial therapy for severe ear infections.
- Understanding the pathophysiology of Salmonella-induced mastoiditis is crucial for effective treatment.