Mastoiditis: Difference between revisions
(Created page with "==Background== *Inflammation of middle ear spreads into mastoid air cells aditus ad antrum **Can extend into cranial cavity and lead to brain abscess *Vast majority of acute mast...") |
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*Abx | *Abx | ||
**Ampicillin/sulbactam 100mg/kg IV q6hr until physical signs have diminished | **Ampicillin/sulbactam 100mg/kg IV q6hr until physical signs have diminished | ||
***Follow by | ***Follow by Augmentin x 2wk after discharge | ||
==Disposition== | ==Disposition== | ||
Revision as of 20:20, 20 July 2011
Background
- Inflammation of middle ear spreads into mastoid air cells aditus ad antrum
- Can extend into cranial cavity and lead to brain abscess
- Vast majority of acute mastoiditis occurs as a result of, or simultaneous with, acute otitis media
- Mastoiditis is unlikely if middle ear examination is normal
Diagnosis
- Abnormal TM findings
- Erythema, tenderness, edema over mastoid
- Cranial nerve VI and VII palsies
Work-Up
- Blood/middle ear fluid cultures
- CT mastoid
Treatment
- Abx
- Ampicillin/sulbactam 100mg/kg IV q6hr until physical signs have diminished
- Follow by Augmentin x 2wk after discharge
- Ampicillin/sulbactam 100mg/kg IV q6hr until physical signs have diminished
Disposition
Admit
Source
Tintinalli