TY - JOUR
TI - Incidence of non-infectious `acute mastoiditis' in children
AU - Kontorinis, G.
AU - Psarommatis, I.
AU - Karabinos, C.
AU - Iliodromiti, Z.
AU - and Tsakanikos, M.
JO - JOURNAL OF LARYNGOLOGY AND OTOLOGY
PY - 2012
VL - 126
TODO - 3
SP - 244-248
PB - Cambridge University Press
SN - 0022-2151
TODO - 10.1017/S0022215111002921
TODO - Chloroma; Facial Nerve Paralysis; Histopathology; Langerhans’ Cell
Histiocytosis; Leukaemia; Mastoiditis
TODO - Objective: The temporal bone may be the first involved site in cases of
systemic disease, and may even present with acute, mastoiditis-like
symptomatology. This study aimed to evaluate the incidence of such
non-infectious ‘acute mastoiditis’ in children.
Materials and methods: Retrospective chart review of 73 children
admitted to a tertiary referral centre for acute mastoiditis.
Results: In 71 cases (97.3 per cent), an infectious basis was
identified. In the majority of cases (33 of 73; 45 per cent), the
responsible bacteria was Streptococcus pneumoniae. However,
histopathological studies revealed a non-infectious underlying disease
(myelocytic leukaemia or Langerhans’ cell histiocytosis) in two atypical
cases (2.7 per cent).
Conclusion: ‘Acute mastoiditis’ of non-infectious aetiology is a rare
but real threat for children, and a challenging diagnosis for
otologists. A non-infectious basis should be suspected in every
atypical, persistent or recurrent case of acute mastoiditis.
ER -