Your diagnosis please: 8-year-old child With chronic ear discharge, infraorbital ulcer, and pneumonia
- Author:
Carol Stephanie C. Tan
1
Author Information
- Publication Type:Journal Article
- MeSH: Body Fluids; Pneumonia; Patient Discharge; Ulcer; Child
- From: Pediatric Infectious Disease Society of the Philippines Journal 2016;17(1):51-56
- CountryPhilippines
- Language:English
- Abstract: An 8 year-old female consulted at our institution due to left ear discharge. 6 months prior to consulting, the patient developed infraorbital swelling and erthema after she hit a metal post. The site of trauma eventually developed into a 2 x 2 cm abscess, which spontaneously ruptured. She was given cloxacillin for 7 days with no improvement of symptoms. 4 months prior to consulting, she developed foul-smelling left ear discharge, not associated with pain. She was given unrecalled otic drops and oral medications with no improvement. She eventually developed left facial paresis. Due to the persistence of ear discharge, she was brought to a local clinic where she was diagnosed to have chronic suppurative otitis media (CSOM) and referred to our institution. The patient also had an 8-month history of a recurrent cough and weight loss of 10% over 3 months. She had no history of fever, seizure, or change in sensorium. She has an older sibling who is an ongoing 2nd month of anti-tuberculosiis treatment. She was given BCG vaccination at birth. Her nutritional status is poor, with meals consisting usually of instant noodles, rice, bread, and cookies.
- Full text:jo50_ja06.pdf
