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頁籤選單縮合
題名 | Mastoiditis: A Disease Often Overlooked by Pediatricians=乳突炎:常被兒科醫師忽略的疾病 |
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作者 | 鄭名芳; 邱貞嘉; 謝凱生; | 書刊名 | 微免與感染雜誌 |
卷期 | 33:4 2000.12[民89.12] |
頁次 | 頁237-240 |
分類號 | 417.6821 |
關鍵詞 | 乳突炎; Fever of unknown origin; Mastoiditis; Otitis media; |
語文 | 英文(English) |
英文摘要 | Although mastoiditis can be a life threatening disease, clinicians often overlook it because it is uncommon. We reviewed the presentation and management of all children younger than 15 years of age with the discharge diagnosis of mastoiditis in our hospital from January 1994 through December 1999. Nineteen patients that fulfilled the case definition were included. The most common clinical presentation in this series was fever. More specific findings, such as otorrhea, postauricular pain, swelling, and redness of mastoid could be found in less than half of these patients. Only two patients had characteristic physical findings, and mastoiditis was diagnosed in only three patients upon admission. Plain radiographic evidence of mastoiditis was usually not apparent early in the course. In this series, the majority of patients were diagnosed by computed tomography (CT) scans. The present study demonstrates that mastoiditis most commonly presents without a clearly diagnostic set of physical examination and laboratory findings. Mastoiditis should be considered in patients with otitis media or with fever of unknown origin (FUO). The empirical antibiotic treatment should cover organisms commonly found in acute otitis media (AOM), including Haemophilus influenzae, Streptococcus pneumoniae, and Moraxella catarrhalis. |
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