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A case of cranial fasciitis masquerading as acute mastoiditis

Published online by Cambridge University Press:  05 June 2008

L R Marshall ,
R J Salib ,
T E Mitchell  and
I Moore
L R Marshall*
Affiliation:
ENT Department, Poole Hospital NHS TrustUK
R J Salib
Affiliation:
Otorhinolaryngology Department, Southampton University Hospital NHS Trust, UK
T E Mitchell
Affiliation:
Otorhinolaryngology Department, Southampton University Hospital NHS Trust, UK
I Moore
Affiliation:
Pathology Department, Southampton University Hospital NHS Trust, UK
*
Address for correspondence: Miss L R Marshall, c/o ENT Department, Poole Hospital NHS Trust, Longfleet Road, Poole BH15 2JB, UK. Fax: 01202448410 E-mail: lisamarshall@doctors.org.uk
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Abstract

Objective:

We report a case of infection against a background of pre-existing cranial fasciitis.

Method:

Case report and review of world literature on cranial fasciitis.

Results:

Cranial fasciitis of childhood is a benign condition and a rare variant of nodular fasciitis. We present the case of a 10-week-old infant with symptoms and signs consistent with a subperiosteal abscess complicating acute mastoiditis. Subsequent findings showed this to be an infection against a background of pre-existing cranial fasciitis.

Conclusion:

To our knowledge, this is the first such reported case in the literature. Knowledge of the distinctive histopathological features, coupled with an awareness of the condition, are crucial to establishing a definitive diagnosis of cranial fasciitis and, in turn, to instituting appropriate management. The aetiopathogenesis of the condition remains unclear.

Keywords

Case ReportCranial FasciitisNodular FasciitisMastoiditisPathologyRadiologyTreatment
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 2 , February 2009 , pp. 245 - 247
Copyright
Copyright © JLO (1984) Limited 2008

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