Clinical manifestations of mastoiditis typically a...
Most common symptoms in infancy
Lethargy/malaise/irritability
Fever
Poor feeding/decreased appetite
Recent ear infection
Otorrhea (drainage from an ear infection)
Otalgia and/or pain on mas...
IV antibiotics and myringotomy (± tympanostomy tubes) is the preferred treatment for uncomplicated acute mastoiditis (reflecting a shift away from more invasive surgical treatment).
To avoid ...
Oral antibiotics for 3 weeks following course of IV antibiotics (total duration of antibiotics is 4 weeks or longer for intracranial complications)
For chronic mas...
Cherry JD, Vahabzadeh-Hagh AM, Shapiro NL. Mastoiditis. In Cherry J, Demmler-Harrison GJ, Kaplan SL, Steinbach WJ, Hotez P (eds.), Feigin and Cherry's Textbook of Pediatr...
H70.90 Unspecified mastoiditis, unspecified ear
H70.009 Acute mastoiditis without complications, unspecified ear
H70.099 Acute mastoiditis with other complications, unspecified ear
H70.10 Chro...
Suspect mastoiditis if symptoms of AOM persist >2 weeks despite a normal-appearing TM.
Temporal bone CT is best diagnostic tool, use only when mastoiditis is suspected to limit radia...
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Mastoiditis, frontal view. (Courtesy of Paul S. Matz, MD.)
Courtesy of Steven D. Handler, MD, MBE.
An unusual complication of otitis media, acute mastoiditis, appears as large bulging lesions above the child's ear.
Raphael Rubin, David S. Strayer, Rubin's Pathology: Clinicopathologic Foundations of Medicine, Fifth Edition. Philadelphia: Lippincott Williams & Wilkins, 2008
Raphael Rubin, David S. ...