In 16 infants with intractable diarrhoea, latent otomastoiditis was found in 9 (3 at necropsy and 6 at myringotomy-antrotomy). In 5 of the 6 operated group, surgery was followed by a striking cessation of the diarrhoea and with weight gain. It is concluded that (1) latent otomastoiditis may be a perpetuating factor in intractable diarrhoea; (2) myringotomy-antrotomy should be considered if othe...

Acute mastoiditis is a well-known complication of acute otitis media in children. Last year we noticed some changes: more virulent pathogens, fulminant course the disease and an increased need for surgical treatment children with admitted to our hospital. Recently, other authors have raised same concerns. Based on last 12 consecutive cases pediatric hospital review recent literature, discuss po...

Primary tuberculous otitis media is a rare disease and it results in silent mastoiditis. It is an atypical cause of chronic suppurative infection of middle ear and constitutes for 0.05% to 0.9% of chronic otitis media [1]. It presents as painless otorrhea that fails to respond to the usual antibiotic treatment. It is also associated with hearing loss that is disproportionate to the extent of th...

Following the introduction of the 7- and 13-valent pneumococcal conjugate vaccines, we observed an inverse relationship between the increasing rate of immunized children and the proportion of middle ear fluid cultures collected during acute mastoiditis episodes that tested positive for Streptococcus pneumoniae among a subset of children 0 to 6 years old who had initially presented with severe a...