RT Book, Section
A1 Anne, Samantha
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114869991
T1 Mastoiditis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114869991
RD 2024/04/19
AB A  12-month-old  girl  presents  to  your  office  with  1-day  history  of  fever  and  increasing  swelling  and  redness  behind  her  left  ear.  On  examination,  the  left  auricle  is  protruding  and  there  is  marked  erythema,  swelling,  tenderness,  and  fluctuance  overlying  the  left  mastoid  bone  (Figure  23-1).  Otoscopy  reveals  a  purulent  middle  ear  effusion.  A  computed  tomography  (CT)  scan  of  the  temporal  bones  reveals  opacification  of  the  mastoid  air  cells.  A  diagnosis  of  acute  mastoiditis  is  made  and  the  girl  undergoes  urgent  myringotomy  and  tympanostomy  tube  placement  and  mastoidectomy.  Postoperatively,  she  is  treated  with  intravenous  antibiotics  and  recovers  completely.