1887

Abstract

Cerebral venous sinus thrombosis in children is a rare complication of acute mastoiditis that can potentially be fatal. Clinical expertise is essential for early diagnosis and management due to its subtle course. We present the first known case of paediatric acute mastoiditis with venous sinus thrombosis caused by and .

A 17-year-old male presented clinical signs of right acute otitis media and mastoiditis. Brain computed tomography showed mastoid opacification, cerebral sinus thrombosis and an extradural collection. Microbiology revealed the presence of and . A multidisciplinary approach combining medical and surgical treatment allowed the patient to make a full recovery.

  • This is an open-access article distributed under the terms of the Creative Commons Attribution License.
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2022-12-05
2024-07-13
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References

  1. Schilder AGM, Marom T, Bhutta MF, Casselbrant ML, Coates H et al. Panel 7: Otitis Media: treatment and complications. Otolaryngol Head Neck Surg 2017; 156:S88–S105 [View Article]
    [Google Scholar]
  2. Wong BYW, Hickman S, Richards M, Jassar P, Wilson T. Management of paediatric otogenic cerebral venous sinus thrombosis: a systematic review. Clin Otolaryngol 2015; 40:704–714 [View Article]
    [Google Scholar]
  3. Cassano P, Ciprandi G, Passali D. Acute mastoiditis in children. Acta Biomed 2020; 91:54–59 [View Article]
    [Google Scholar]
  4. Gellman SR, Milera A, DeNapoli TS, Buckmiller LM, Castagnini LA. Actinomyces mastoiditis in a 5-year-old male. Clin Pediatr 2019
    [Google Scholar]
  5. Tseng S-Y, Liu P-Y, Lee Y-H, Wu Z-Y, Huang C-C et al. The pathogenicity of Shewanella algae and ability to tolerate a wide range of temperatures and salinities. Can J Infect Dis Med Microbiol 2018; 2018:6976897 [View Article]
    [Google Scholar]
  6. Ignak S, Unay Demirel O, Soydan S, Esen E. Shewanella algae in a chronic suppurative otitis media patient with cholesteatoma. DD&T 2018; 12:108–110 [View Article]
    [Google Scholar]
  7. Yang X, Wang D, Zhou Q, Nie F, Du H et al. Antimicrobial susceptibility testing of Enterobacteriaceae: determination of disk content and Kirby-Bauer breakpoint for ceftazidime/avibactam. BMC Microbiol 2019; 19:240 [View Article]
    [Google Scholar]
  8. Zanoletti E, Cazzador D, Faccioli C, Sari M, Bovo R et al. Intracranial venous sinus thrombosis as a complication of otitis media in children: critical review of diagnosis and management. Int J Pediatr Otorhinolaryngol 2015; 79:2398–2403 [View Article]
    [Google Scholar]
  9. Castellazzi ML, di Pietro GM, Gaffuri M, Torretta S, Conte G et al. Pediatric otogenic cerebral venous sinus thrombosis: a case report and a literature review. Ital J Pediatr 2020; 46:122 [View Article]
    [Google Scholar]
  10. Torri A, Bertini S, Schiavone P, Congestrì F, Matteucci M et al. Shewanella algae infection in Italy: report of 3 years’ evaluation along the coast of the northern Adriatic Sea. New Microbes New Infect 2018; 23:39–43 [View Article]
    [Google Scholar]
  11. Kim HB, Park CH, Gavin M, Jacoby GA, Hooper DC. Cold shock induces qnrA expression in Shewanella algae. Antimicrob Agents Chemother 2011; 55:414–416 [View Article]
    [Google Scholar]
  12. Holt HM, Søgaard P, Gahrn-Hansen B. Ear infections with Shewanella alga: a bacteriologic, clinical and epidemiologic study of 67 cases. Clin Microbiol Infect 1997; 3:329–334 [View Article]
    [Google Scholar]
  13. Coutinho G, Spratley J, Saldanha I, Castro C, Pinheiro J et al. Middle ear actinomycosis. J Pediatr Infect Dis 2020; 15:144–147 [View Article]
    [Google Scholar]
  14. Funke G, Alvarez N, Pascual C, Falsen E, Akervall E et al. Actinomyces europaeus sp. nov., isolated from human clinical specimens. Int J Syst Bacteriol 1997; 47:687–692 [View Article]
    [Google Scholar]
  15. Fernández LV, Arias E, Cohen D, Spini R. Actinomycosis in temporal bone. A pediatric case report. Arch Argent Pediatr 2021; 119:e153–e157 [View Article]
    [Google Scholar]
  16. Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ 2011; 343:d6099 [View Article]
    [Google Scholar]
  17. Novoa E, Podvinec M, Angst R, Gürtler N. Paediatric otogenic lateral sinus thrombosis: therapeutic management, outcome and thrombophilic evaluation. Int J Pediatr Otorhinolaryngol 2013; 77:996–1001 [View Article]
    [Google Scholar]
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