Masked mastoiditis: case report in a high-complexity pediatric hospital

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Natalia Bahamondes M.
Andrés Alvo V.
Maya Kuroiwa R.
Carlos Robles M.
Cecilia Sedano M.

Keywords

Masked mastoiditis, otitis media, complicated otitis, Bezold’s abscess

Abstract

Masked mastoiditis is a rare complication of acute or chronic otitis media. Its main characteristic is to present little or minimal otic symptoms and has a slowly progressive course over time. This diagnosis must be suspected correctly because it can eventually generate serious otological consequences and present major complications at intra or extratemporal levels. We report the clinical case of a healthy pediatric patient, who was diagnosed with masked mastoiditis complicated with a Bezold’s abscess. A bi-associated antibiotic scheme was started from admission and a timpanomastoidectomy was perfor- med, with a satisfactory outcome.

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