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KMID : 0605820140210020144
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Korean Journal of Pediatric Infectious Diseases
2014 Volume.21 No. 2 p.144 ~ p.149
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A Case of Epidural Abscess Complicated from Acute Mastoiditis Caused by Streptococcus pneumoniae
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Choi Jee-Hyun
Kim Min-Sung
Kim Jong-Hyun
Son Byung-Cheol
Kim Seong-Joon
Park So-Hyun
Lee Jung-Hyun
Oh Jin-Hee
Koh Dae-Kyun
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Abstract
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Acute otitis media (AOM) is one of the most common childhood infectious diseases. Despite antibiotic treatment for AOM, AOM and its complication still continue to develop. Acute mastoiditis is a serious complication of AOM and epidural abscess constitutes the commonest of all intracranial complication of AOM. Neurological complication of acute mastoiditis are rare but can be life threatening. Their presentation may be masked by the use of antibiotics.
We report the rare case of acute otitis media progressing to acute mastoiditis, epidural abscess formation and lateral sinus thrombophlebitis caused by Streptococcus pneumoniae in a child. She was admitted with acute otitis media with fever. Despite proper antibiotics, acute mastodititis and epidural abscess were developed, and after surgical drainage and antibiotics therapy she was recovered without sequalae.
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KEYWORD
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Epidural abscess, Mastoiditis, Otitis media, Streptococcus pneumoniae
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