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Incidence of non-infectious ‘acute mastoiditis’ in children

Published online by Cambridge University Press:  28 October 2011

G Kontorinis ,
I Psarommatis ,
C Karabinos ,
Z Iliodromiti  and
M Tsakanikos
G Kontorinis*
Affiliation:
Department of Otorhinolaryngology, Hanover Medical University, Germany
I Psarommatis
Affiliation:
Department of Otorhinolaryngology, P & A Kyriakou Hospital for Sick Children, Athens, Greece
C Karabinos
Affiliation:
Department of Otorhinolaryngology, P & A Kyriakou Hospital for Sick Children, Athens, Greece
Z Iliodromiti
Affiliation:
Department of Neonatology, Aretaieio Hospital, Athens Medical University, Greece
M Tsakanikos
Affiliation:
Department of Otorhinolaryngology, P & A Kyriakou Hospital for Sick Children, Athens, Greece
*
Address for correspondence: Dr Georgios Kontorinis, Department of Otorhinolaryngology, Hanover Medical University, Carl Neuberg Str 1, 30625 Hanover, Germany E-mail: Kontorinis.Georgios@mh-hannover.de
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Abstract

Objective:

The temporal bone may be the first involved site in cases of systemic disease, and may even present with acute, mastoiditis-like symptomatology. This study aimed to evaluate the incidence of such non-infectious ‘acute mastoiditis’ in children.

Materials and methods:

Retrospective chart review of 73 children admitted to a tertiary referral centre for acute mastoiditis.

Results:

In 71 cases (97.3 per cent), an infectious basis was identified. In the majority of cases (33 of 73; 45 per cent), the responsible bacteria was Streptococcus pneumoniae. However, histopathological studies revealed a non-infectious underlying disease (myelocytic leukaemia or Langerhans' cell histiocytosis) in two atypical cases (2.7 per cent).

Conclusion:

‘Acute mastoiditis’ of non-infectious aetiology is a rare but real threat for children, and a challenging diagnosis for otologists. A non-infectious basis should be suspected in every atypical, persistent or recurrent case of acute mastoiditis.

Keywords

ChloromaFacial Nerve ParalysisHistopathologyLangerhans' Cell HistiocytosisLeukaemiaMastoiditis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 3 , March 2012 , pp. 244 - 248
Copyright
Copyright © JLO (1984) Limited 2011

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