Clinical Case Database / Category: Patient Management

A simple ear infection gets complicated

Publication details

H Atkinson, AG Tucker
Foundation Years Journal, volume 7, issue 1, p.24 (123Doc Education, London, January 2013)

Abstract

12 month old girl present to accident and emergency with a history of ear ache and fevers. She is found to have reduced consciousness and evidence of mastoiditis. She undergoes a CT which shows evidence of further intracranial complications and goes to theatre for surgical management of this.

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Authors

H Atkinson

Department of Otolaryngology,
Head and Neck Surgery,
Bradford Royal Infirmary,
Bradford, UK.
hfatkinson@gmail.com

AG Tucker

Department of Otolaryngology,
Head and Neck Surgery,
Bradford Royal Infirmary,
Bradford, UK.

References

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2. Lacy PD, Walsh RM. The role of antibiotics in the management of acute otitis media in children. Clin Otolaryngol 2002;27:1-3.
3. Froom J, Culpepper L, Grob P, Bartelds A, Bowers P, Bridges-Webb C, et al. Diagnosis and antibiotic treatment of acute otitis media: report from International Primary Care Network. BMJ 1990;300:582-6.
4. Little P, Gould C, Williamson I, Moore M, Warner G, Dunleavey J. Pragmatic randomised controlled trial of two prescribing strategies for childhood acute otitis media. BMJ 2001;322:336-42.
5. Marcy M, Takata G, Shekelle P, Mason W, Wachsman L, Ernst R, et al. Management of acute otitis media. Rockville (MD): Agency for Healthcare Research and Quality; 2001. Evidence Report/Technology Assessment No.15. AHRQ Publication No. 01-E010.
6. Kozyrskyj AL, Hildes-Ripstein GE, Longstaffe SEA, Wincott JL, Sitar DS, Klassen TP, Moffatt MEK. Short course antibiotics for acute otitis media (Cochrane Review). In: The Cochrane Library, Issue 2, 2002.
7. Garcia RD, Baker AS, Cunningham MJ, Weber AL. Lateral sinus thrombosis associated with otitis media and mastoiditis in children. Pediatr Infect Dis J. 1995;14(7):617–623
8. Takata GS, Chan LS, Shekelle P, Morton SC, Mason W, Marcy SM. Evidence assessment of managament of acute otitis media: I. The role of antibiotics in the treatment of uncomplicated acute otitis media. Paediatrics. 2001. 108:239-247
9. Bales CB, Sobol S, Wetmore R, Eldon LM. Lateral sinus thrombosis as a complication of otitis media: 10 year experience at the childrens hospital of Philadelphia. Paediatrics. 2009; 123:709-713
10. Kangsanarak J, Navacharoen N, Fooanant S, Ruckphaopunt K. Intracranial complications of suppurative otitis media: 13 years’ experience. Am J Otol. Jan

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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