PMID- 14534474
OWN - NLM
STAT- MEDLINE
DCOM- 20031201
LR  - 20161209
IS  - 0755-4982 (Print)
IS  - 0755-4982 (Linking)
VI  - 32
IP  - 31
DP  - 2003 Sep 27
TI  - [Acute mastoiditis in children: clinical and bacteriological study of 17 cases].
PG  - 1445-9
AB  - OBJECTIVE: Acute mastoiditis (AM) represents the most frequent complication of 
      acute otitis media (AOM) in children. In the literature, its incidence is stable 
      but with an impressive increase in pneumococci with reduced sensitivity to 
      penicillin (PRSP). The aim of this study was to assess the incidence of AM in the 
      area of Tours and the prevalence of PRSP. METHOD: This was a retrospective study 
      of children admitted to the regional paediatric centre in the Tours area, between 
      January 1994 and May 2001. The coded AM files were analysed, excluding all the 
      sub-acute forms or those complicating a cholesteatoma. The criteria studied 
      concerned the clinical signs on admission, the imaging data and the 
      bacteriological samples and the results of treatment. RESULTS: Seventeen children 
      (8 boys, 9 girls) were admitted for an AM during the study period. Their mean age 
      was of 3.2 years (range: 6 months to 13 years). In 24% of cases, the mastoiditis 
      existed on admission and in 59% of cases it complicated an AMO already treated 
      with antibiotics. In 3 cases (18%), the AM was complicated on admission with 
      peripheral facial paralysis in one case and thrombosis of the lateral sinus in 2 
      cases. The germ responsible was identified in 14 cases (82%) with a predominance 
      of pneumococci (11 cases). Eight were PRSP-type. Scan of the pars petrosa 
      identified a subperiosteal abscess in 13 cases. Fourteen mastoidectomies were 
      performed and the mean duration of antibiotic therapy was of 23 days. The outcome 
      was always good. CONCLUSION: Over the past 7 years, the incidence of AM has been 
      estimated at 1.2/100 000 children aged under 15 per year. The prevalence of PRSP 
      is high but does not change the principles or the results of the treatment of AM.
FAU - Moriniere, S
AU  - Moriniere S
AD  - Unite d'ORL pediatrique et de chirurgie cervico-faciale, Centre de pediatrie, 
      Gatien de Clocheville, CHU, Tours.
FAU - Lanotte, P
AU  - Lanotte P
FAU - Celebi, Z
AU  - Celebi Z
FAU - Ployet, M-J
AU  - Ployet MJ
FAU - Robier, A
AU  - Robier A
FAU - Lescanne, E
AU  - Lescanne E
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Mastoidite aigue de l'enfant: etude clinique et bacteriologique de 17 cas.
PL  - France
TA  - Presse Med
JT  - Presse medicale (Paris, France : 1983)
JID - 8302490
SB  - IM
MH  - Acute Disease
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Mastoiditis/*diagnosis/*microbiology
MH  - Retrospective Studies
EDAT- 2003/10/10 05:00
MHDA- 2003/12/03 05:00
CRDT- 2003/10/10 05:00
PHST- 2003/10/10 05:00 [pubmed]
PHST- 2003/12/03 05:00 [medline]
PHST- 2003/10/10 05:00 [entrez]
AID - MDOI-PM-09-2003-32-31-0755-4982-101019-ART2 [pii]
PST - ppublish
SO  - Presse Med. 2003 Sep 27;32(31):1445-9.