Korean Journal of Pediatric Infectious Diseases  2014;21(2):144-149

A Case of Epidural Abscess Complicated from Acute Mastoiditis Caused by Streptococcus pneumoniae.

Jee Hyun CHOI ; Min Sung KIM ; Jong Hyun KIM ; Byung Chul SON ; Seong Joon KIM ; So Hyun PARK ; Jung Hyun LEE ; Jin Hee OH ; Dae Kyun KOH

Keywords

Epidural abscess; Mastoiditis; Otitis media; Streptococcus pneumoniae

Country

Republic of Korea

Language

Korean

Abstract

Acute otitis media (AOM) is one of the most common childhood infectious diseases. Despite antibiotic treatment for AOM, AOM and its complication still continue to develop. Acute mastoiditis is a serious complication of AOM and epidural abscess constitutes the commonest of all intracranial complication of AOM. Neurological complication of acute mastoiditis are rare but can be life threatening. Their presentation may be masked by the use of antibiotics. We report the rare case of acute otitis media progressing to acute mastoiditis, epidural abscess formation and lateral sinus thrombophlebitis caused by Streptococcus pneumoniae in a child. She was admitted with acute otitis media with fever. Despite proper antibiotics, acute mastodititis and epidural abscess were developed, and after surgical drainage and antibiotics therapy she was recovered without sequalae.