Mastoiditis

In the mastoiditis is a bacterial infection of the air cells in the mastoid (Proc. Mastoid), which usually occurs after an acute otitis media. It is accompanied by redness, tenderness, swelling and fluctuation over the mastoid process and may cause a projection of the pinna. The diagnosis is made clinically. The treatment is antibiotic (eg. B. with ceftriaxone) and mastoidectomy, if the drug therapy is not effective.

As the inflammation in an acute suppurative otitis media often mastoideum the antrum and engages over the air cells, accumulates there to liquid. In this infectious exudate are found in some patients the same bacterial pathogen that caused the otitis media – most commonly pneumococci. the mastoiditis can result in melting of air cells through osteitis of the septa.

In the mastoiditis is a bacterial infection of the air cells in the mastoid (Proc. Mastoid), which usually occurs after an acute otitis media. It is accompanied by redness, tenderness, swelling and fluctuation over the mastoid process and may cause a projection of the pinna. The diagnosis is made clinically. The treatment is antibiotic (eg. B. with ceftriaxone) and mastoidectomy, if the drug therapy is not effective. As the inflammation in an acute suppurative otitis media often mastoideum the antrum and engages over the air cells, accumulates there to liquid. In this infectious exudate are found in some patients the same bacterial pathogen that caused the otitis media – most commonly pneumococci. the mastoiditis can result in melting of air cells through osteitis of the septa. If there is infection due to the eardrum, it relieves pressure; when the infection expands and breaks by the side edge of the mastoid process, can form a subperiosteal retroauricularly abscess. In rare cases, the infection spreads to the central nervous system and can then cause a Temporallappenabszess or septic thrombosis of the lateral ventricle. Occasionally, the infection can (so-called. Bezold abscess) erode through the tip of the mastoid process and extending into the neck. Symptoms and complaints from days to weeks after acute otitis media put a fever and persistent, throbbing earache. Almost all patients have similar symptoms as with otitis media and purulent ears River (otorrhoea). reddened, pressure-sensitive swelling or fluctuation over the mastoid can develop while the ear usually protrudes laterally down from the head. Diagnosis Clinical evaluation Rarely CT Diagnosis is clinical. A CT is rarely necessary, but can confirm the diagnosis and show the extent of the infection. Any discharge from the middle ear is sent to the culture and sensitivity testing to the laboratory. If no spontaneous discharge occurs to Keimanzüchtung a myringotomy (Tympanoparazentese) can be carried out. But even if conspicuous blood and ESR values ??result, they are specific enough neither sensitive nor to weiterzuhelfen diagnostic. Therapy ceftriaxone iv One should immediately i.v. begin antibiotic therapy with a liquorgängigen agent to the CNS penetrates continue (z. B. ceftriaxone, 1 time 1-2 g / day for adults and 50 to 75 mg / kg for children), and they ? 2 weeks. Shareholders may also be oral administration of a quinolone. The choice of antibiotics for subsequent therapy depends on the culture and sensitivity test results. A subperiosteal abscess usually requires a simple mastoidectomy in which the abscess drained the infected air cells are removed in the mastoid and carried a drainage from the antrum of the mastoid process in the Mittelohrkavität.

Health Life Media Team

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