Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media

We report two children with otitis media who developed facial palsy despite prompt antibiotic therapy. Brain images revealed silent mastoiditis. Persistent otorrhea may be a cautious sign of medical treatment failure or complication of acute otitis media, including mastoiditis or facial palsy. Delay...

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Main Authors:	Tzu-Chun Tsai, Pang-Mien Yu, Ren-Bin Tang, Hsin-Kai Wang, Ke-Chang Chang
Format:	Article
Language:	English
Published:	Elsevier 2013-10-01
Series:	Pediatrics and Neonatology
Subjects:	facial palsy mastoiditis otitis media otorrhea Streptococcus pneumoniae
Online Access:	http://www.sciencedirect.com/science/article/pii/S1875957213000405

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spelling	doaj-c2284f9f9e13451f93d71adc29a5b97d2020-11-24T22:28:52ZengElsevierPediatrics and Neonatology1875-95722013-10-0154533533810.1016/j.pedneo.2013.03.005Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis MediaTzu-Chun Tsai0Pang-Mien Yu1Ren-Bin Tang2Hsin-Kai Wang3Ke-Chang Chang4Department of Pediatrics and Otorhinolaryngology, National Yang-Ming University Hospital, Yilan, TaiwanDepartment of Pediatrics, Lotung Pohai Hospital, Yilan, TaiwanInstitute of Clinical Medicine, National Yang-Ming University, Taipei, TaiwanInstitute of Clinical Medicine, National Yang-Ming University, Taipei, TaiwanDepartment of Pediatrics and Otorhinolaryngology, National Yang-Ming University Hospital, Yilan, TaiwanWe report two children with otitis media who developed facial palsy despite prompt antibiotic therapy. Brain images revealed silent mastoiditis. Persistent otorrhea may be a cautious sign of medical treatment failure or complication of acute otitis media, including mastoiditis or facial palsy. Delayed identification of coexisting mastoiditis or hesitation over surgical intervention may lead to treatment failure and complications. Adequate intravenous antibiotics and myringotomy provide reasonable and appropriate management to prevent permanent sequelae.http://www.sciencedirect.com/science/article/pii/S1875957213000405facial palsymastoiditisotitis mediaotorrheaStreptococcus pneumoniae
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Tzu-Chun Tsai Pang-Mien Yu Ren-Bin Tang Hsin-Kai Wang Ke-Chang Chang
spellingShingle	Tzu-Chun Tsai Pang-Mien Yu Ren-Bin Tang Hsin-Kai Wang Ke-Chang Chang Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media Pediatrics and Neonatology facial palsy mastoiditis otitis media otorrhea Streptococcus pneumoniae
author_facet	Tzu-Chun Tsai Pang-Mien Yu Ren-Bin Tang Hsin-Kai Wang Ke-Chang Chang
author_sort	Tzu-Chun Tsai
title	Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media
title_short	Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media
title_full	Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media
title_fullStr	Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media
title_full_unstemmed	Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media
title_sort	otorrhea as a sign of medical treatment failure in acute otitis media
publisher	Elsevier
series	Pediatrics and Neonatology
issn	1875-9572
publishDate	2013-10-01
description	We report two children with otitis media who developed facial palsy despite prompt antibiotic therapy. Brain images revealed silent mastoiditis. Persistent otorrhea may be a cautious sign of medical treatment failure or complication of acute otitis media, including mastoiditis or facial palsy. Delayed identification of coexisting mastoiditis or hesitation over surgical intervention may lead to treatment failure and complications. Adequate intravenous antibiotics and myringotomy provide reasonable and appropriate management to prevent permanent sequelae.
topic	facial palsy mastoiditis otitis media otorrhea Streptococcus pneumoniae
url	http://www.sciencedirect.com/science/article/pii/S1875957213000405
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Otorrhea as a Sign of Medical Treatment Failure in Acute Otitis Media

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