Τίτλος:
Incidence of non-infectious `acute mastoiditis' in children
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Kontorinis, G.
Psarommatis, I.
Karabinos, C.
Iliodromiti, Z.
and Tsakanikos, M.
Περιοδικό:
JOURNAL OF LARYNGOLOGY AND OTOLOGY
Εκδότης:
Cambridge University Press
Λέξεις-κλειδιά:
Chloroma; Facial Nerve Paralysis; Histopathology; Langerhans’ Cell
Histiocytosis; Leukaemia; Mastoiditis
DOI:
10.1017/S0022215111002921
