Severe Acute Otitis Media and Acute Mastoiditis in Adults.
نویسندگان
چکیده
OBJECTIVE To evaluate and compare clinical and microbiological findings in adults hospitalized for acute otitis media (AOM) or mastoid infections (acute or latent). MATERIALS AND METHODS We retrospectively reviewed the medical records of all adults (≥17 years old) hospitalized (between 2003 and 2012) at a tertiary referral center for acute mastoid infections or AOM not responding to outpatient medical treatment. RESULTS Of the 160 patients in the study sample, 19% had an infection caused by S. pyogenes, 14% by S. pneumoniae, and 11% by P. aeruginosa. AOM was the most common infection (38%), whereas 33% had acute mastoiditis (AM), 18% had latent mastoiditis (LM), and 13% AM of a chronically infected ear (AMc). In contrast to the other infections, P. aeruginosa (30%) and S. aureus (25%) were most common in AMc. Otorrhea (83%), tympanic membrane perforation (57%), and hearing problems (83%) were common in S. pyogenes infections. Patients with S. pneumoniae had longer lengths of hospitalization than those with other bacterial infections (7 vs. 4 days). Otorrhea (94%) and retroauricular symptoms were more common in P. aeruginosa infections. Hearing symptoms were common (67%) but fever (32%) and retroauricular symptoms were uncommon in AOM. Fever (44%) and mastoid tenderness (65%) were common in AM. Patients with LM underwent the most mastoidectomies (54%). Prior medical conditions, retroauricular symptoms, otorrhea (90%), and post-infection problems were common in AMc. CONCLUSION The bacteriological etiology of hospitalized AOM more closely resembled those of LM and AM than that of AMc. Adults hospitalized for AOM or AM required fewer mastoidectomies than those hospitalized for LM or AMc.
منابع مشابه
Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic
Introduction: Petrositis is a rare but severe complication of acute otitis media and mastoiditis. Despite efficient antibiotic therapy, there are still reports of both intratemporal and intracranial complications of otitis media with the potential risk of high morbidity and mortality. Petrositis has traditionally been treated with surgery, but recent advances in imaging, with improved antibioti...
متن کاملTwo Cases of Acute Mastoiditis with Subperiosteal Abscess
The incidence of mastoiditis in pediatric age has consistently increased over the last two decades due to increase of antibiotic-resistant bacteria. Compared to young patients, occurrence of acute otitis media complications such as acute mastoiditis and subperiosteal abscess is relatively low in adults. Various treatments for acute mastoiditis with subperiosteal abscess such as tympanostomy tub...
متن کاملThe management of the intracranial complications of acute otitis media in children
Acute Otitis Media (AOM) is a very common condition in children. Complications of acute otitis media have reduced with the introduction of antibiotics. However, intratemporal and intracranial complications still arise, particularly if there is acute mastoiditis. We discuss the intracranial complications of acute otitis media in children together with evidence-based management.
متن کاملZygomatic Abscess with Temporomandibular Joint Effusion Complicating Acute Otitis Media
The incidences of extracranial and intracranial complications of acute otitis media (AOM) in children have markedly decreased in the postantibiotic era. Zygomatic abscesses are the rarest type of abscesses originating from mastoiditis. This paper presents a case with a zygomatic abscess as a complication of acute coalescent mastoiditis in a 7-year-old girl who underwent cortical mastoidectomy a...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The journal of international advanced otology
دوره 12 3 شماره
صفحات -
تاریخ انتشار 2016