scholarly journals Sigmoid Sinus Thrombosis as a Complication of Acute Otitis Media in a 6-Year-Old Male

2021 ◽  
pp. 014556132110157
Author(s):  
Alexandros Poutoglidis ◽  
Nikolaos Tsetsos ◽  
Stergiani Keramari ◽  
Ioannis Skoumpas ◽  
Konstantinos Vlachtsis ◽  
...  
Keyword(s):  
Otitis Media ◽  
Pediatric Patients ◽  
Sinus Thrombosis ◽  
Wide Spectrum ◽  
Acute Otitis Media ◽  
Sigmoid Sinus ◽  
Cortical Mastoidectomy ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
High Index Of Suspicion

Sigmoid sinus thrombosis (SST) is a potentially life-threatening complication of otitis media which is nowadays rare due to the widespread use of antibiotics. A high index of suspicion is necessary to allow for a timely diagnostic and therapeutic intervention. Intravenous wide-spectrum antibiotics and a cortical mastoidectomy are the mainstay of treatment. There is no consensus regarding the necessity of anticoagulants in pediatric patients. We present a 6-year-old boy who presented with an SST as a result of acute otitis media.

Lateral sinus thrombosis following myringoplasty: a rare complication

2012 ◽  
Vol 127 (S1) ◽  
pp. S39-S41 ◽  
Author(s):  
G Sim ◽  
F Lannigan
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Otitis Media ◽  
High Mortality ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Lateral Sinus ◽  
Lateral Sinus Thrombosis ◽  
Life Threatening ◽  
Life Threatening Complication

AbstractObjective:We report lateral sinus thrombosis occurring as a rare complication following a routine and uneventful otological procedure.Case report:Lateral sinus thrombosis is a rare but known complication of otitis media. It has not been documented as a complication of routine otological surgery. We present a case of this rare complication following a myringoplasty. We also discuss the presentation, investigation and treatment of lateral sinus thrombosis. It is essential to be able to recognise and treat this rare complication early, due to its high mortality rate.Conclusion:Lateral sinus thrombosis is a rare but potentially life-threatening complication. It is therefore essential for clinicians to be able to recognise and treat this condition early.

scholarly journals Gradenigo’s Syndrome with Carotid Septic Stenosis

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ana Sousa Menezes ◽  
Daniela Ribeiro ◽  
Filipa Balona ◽  
Ricardo Maré ◽  
Cátia Azevedo ◽  
...  
Keyword(s):  
Otitis Media ◽  
Internal Carotid ◽  
Sinus Thrombosis ◽  
Abducens Nerve ◽  
Pediatric Case ◽  
Suppurative Otitis Media ◽  
Gradenigo’S Syndrome ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Clinical Triad

Gradenigo’s syndrome was firstly described in 1907 by Giusseppe Gradenigo and is defined as the clinical triad of suppurative otitis media, ipsilateral abducens nerve palsy, and pain in the distribution of the first and the second branches of the trigeminal nerve. Since the advent of antibiotics, the incidence of this potentially life-threatening complication has diminished, but occasional cases still occur. We herein report a pediatric case of otitis media associated with Gradenigo’s syndrome complicated by ipsilateral septic cavernous sinus thrombosis and infectious arteritis of the internal carotid artery.

scholarly journals Case Report: Petrous Apicitis and Otogenic Thrombosis of the Cavernous Sinus in a 10-Year-Old Boy

2021 ◽  
Vol 8 ◽  
Author(s):  
Patrick Bergsma ◽  
Seraina Kunz ◽  
Anna-Lena Kienle ◽  
Yves Brand
Keyword(s):  
Otitis Media ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Acute Otitis Media ◽  
Petrous Apex ◽  
Cavernous Sinus Thrombosis ◽  
Petrous Apicitis ◽  
Air Cells ◽  
Ct And Mri

Background: Petrous apicitis and cavernous sinus thrombosis are exceedingly rare complications of acute otitis media with only few reported cases in the post-antibiotic era. Especially in children, the appropriate management is a subject of controversy.Case Presentation: We report the case of a 10-year-old boy who presented to the emergency department with left-sided otalgia, otorrhea, and hearing loss, accompanied by somnolence and high spiking fevers. CT and MRI revealed partially obstructed mastoid air cells including a pneumatized petrous apex. Furthermore, thrombosis of the cavernous sinus and vasculitis of the internal carotid artery on the left side were present. The patient was treated with antibiotics for 6 weeks and anticoagulant therapy for 3 months. Follow-up carried out 3 months post-admission showed complete recanalization of the cavernous sinus on MRI and fatigue as the only remaining symptom.Conclusion: A complicated otitis media with petrous apicitis and cavernous sinus thrombosis in a child can in some cases be managed without a surgical intervention.

PENETRATION OF CEFPODOXIME INTO MIDDLE EAR FLUID IN PEDIATRIC PATIENTS WITH ACUTE OTITIS MEDIA

1997 ◽  
Vol 16 (1) ◽  
pp. 79-81 ◽  
Author(s):  
Jacobus C. van Dyk ◽  
Susan A. Terespolsky ◽  
Carl S. Meyer ◽  
Christo H. van Niekerk ◽  
Keith P. Klugman
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Pediatric Patients ◽  
Acute Otitis Media ◽  
Middle Ear Fluid

Otitis Media: Review of the 2004 Treatment Guidelines

2005 ◽  
Vol 39 (11) ◽  
pp. 1879-1887 ◽  
Author(s):  
Mary Petrea Cober ◽  
Cary E Johnson
Keyword(s):  
Drug Resistance ◽  
American Academy ◽  
Otitis Media ◽  
English Language ◽  
Pediatric Patients ◽  
Treatment Guidelines ◽  
Data Extraction ◽  
Acute Otitis Media ◽  
Medline Search ◽  
The Us

OBJECTIVE To review the 2004 treatment guidelines provided by the American Academy of Pediatrics (AAP) and the American Academy of Family Physicians (AAFP) regarding the treatment of otitis media in pediatric patients. DATA SOURCES A MEDLINE search, restricted to English-language articles about pediatric patients, was conducted (1966–May 2005) using the key words acute otitis media (AOM), guideline, observation therapy, and vaccination. Additional references were located through review of the bibliographies of cited articles. STUDY SELECTION AND DATA EXTRACTION Studies related to the fundamental basis of the updated guidelines and articles addressing current issues related to otitis media infection were included. DATA SYNTHESIS Otitis media affects many children in the US. Concerns have been raised about the proper treatment of AOM in the face of increasing drug resistance among primary pathogens responsible for infection. Some countries have chosen to observe patients for a designated period of time prior to initiation of antibiotic therapy. The AAP and AAFP have updated the treatment guidelines for otitis media to include the option of observation therapy, recommendations for dosing of various antibiotic regimens and their place in therapy, and the importance of initial pain management. CONCLUSIONS Updated treatment guidelines for otitis media have been developed in an effort to properly treat children while decreasing current resistance rates for common organisms that cause AOM. In the future, the therapeutic outcomes of observation therapy related to both the incidence of drug resistance and the possibility of increased complications related to otitis media will need to be evaluated in the US.

A case of lateral sinus insufficiency with acute otitis media: Early surgical intervention for prevention of lateral sinus thrombosis

2015 ◽  
Vol 42 (6) ◽  
pp. 492-495
Author(s):  
Kuniyuki Takahashi ◽  
Yutaka Yamamoto ◽  
Manabu Ogi ◽  
Shinsuke Ohshima ◽  
Yuka Morita ◽  
...  
Keyword(s):  
Otitis Media ◽  
Surgical Intervention ◽  
Sinus Thrombosis ◽  
Acute Otitis Media ◽  
Lateral Sinus ◽  
Lateral Sinus Thrombosis ◽  
Early Surgical Intervention

Diverse mutations in the ftsI gene in ampicillin-resistant Haemophilus influenzae isolates from pediatric patients with acute otitis media

2010 ◽  
Vol 16 (2) ◽  
pp. 87-93 ◽  
Author(s):  
Kozue Kishii ◽  
Naoko Chiba ◽  
Miyuki Morozumi ◽  
Keiko Hamano-Hasegawa ◽  
Kimiko Ubukata ◽  
...  
Keyword(s):  
Haemophilus Influenzae ◽  
Otitis Media ◽  
Pediatric Patients ◽  
Acute Otitis Media

scholarly journals Ileal volvulus due to ascaris lumbricoides: a diagnosis revisited

2019 ◽  
Vol 6 (2) ◽  
pp. 614
Author(s):  
Ipseet Mishra ◽  
Sudip Haldar ◽  
Souvik Paul
Keyword(s):  
Ascaris Lumbricoides ◽  
Wide Spectrum ◽  
Primary Anastomosis ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Small Bowel Volvulus ◽  
Clinical Presentations ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Early Surgical Intervention

Ascariasis infestation is a common helminthic disease in developing countries with a wide spectrum of clinical presentations, one of which can be acute abdomen. Small bowel volvulus is a serious life-threatening emergency. The aetiology may be primary as is often seen in Africa and Asia, while in Western countries other predisposing conditions usually initiate the volvulus. Ascariasis is highly prevalent in India and so, a myriad of different presentations is quite obvious. Here the authors have reported a case of a 6year old boy presenting with features of acute intestinal obstruction-central abdominal pain, repeated vomiting and abdominal distension. After evaluation with abdominal radiography and ultrasonography, exploratory laparotomy was planned. A secondary ileal volvulus compact with worms of ascaris lumbricoides was found. Resection of non-viable ileum was done after evacuation of worms by enterotomy followed by primary anastomosis. Prompt clinical diagnosis, a high index of suspicion for complications and early surgical intervention are critical in minimizing morbidity in cases of Intestinal Ascariasis.

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