pneumoniae is common in SCG patients.Ĭomplications Mastoiditis Microbiology Post-operative fever. necrophorum is more likely to be associated with MCG, and S. MCG patients are more prone to develop POF. Post-mastoidectomy fever due to CAM is not unusual and seems to be a benign condition for the first 5-6 days, following surgery. Streptococcus pneumoniae was reported only in SCG (5/9, 55.5%, vs. Fusobacterium necrophorum counted for 8/18(44.5%) of all positive cultures, 7/9(77.8%) in the MCG vs. Seven patients, all from MCG with POF, underwent second imaging with no new findings a total of 18 positive cultures were reported. POF was recorded until POD6 in both groups.
6/17(35.3%) SCG patients experienced POF vs. 33 patients, divided into 2 groups: 17 patients with sub-periosteal abscess (SPA) alone-single complication group (SCG) and 16 patients with SPA and additional complications: sigmoid sinus thrombosis (SST), peri-sinus fluid/abscess, epidural/subdural abscess, and acute meningitis-multiple complications group (MCG).ģ3 patients belong to the SCG 17(51%) and 16(49%) belonged to the MCG, respectively. To determine the immediate post-operative course and outcome of pediatric patients with complicated acute mastoiditis (CAM) following surgical treatment.Ī retrospective chart review of children diagnosed with CAM who underwent mastoid surgery during 2012-2019 in a tertiary care university hospital.
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