title: Coalescent mastoiditis in a child with severe congenital neutropenia. Report of a case.
abstract: This is a report of a case of coalescent mastoiditis seen in a 3-year-old child with severe congenital neutropenia. Pseudomonas aeroginosa was the main bacterial species recovered from the affected ear. Modified radical mastoidectomy was done and appropriate antibiotics administered. Operative wound infection with delayed wound healing was the hallmark of the postoperative follow-up period. Large spectrum oral antibiotics in addition to regular wound cleansing was an effective adjunct to therapy. On last follow-up operative wound was healed and mastoid cavity was clean. Occurrence, treatment, clinical and microbiological aspects of coalescent mastoiditis were described and discussed.
authors.affiliation: Head and Neck Surgery Division, Saint George Hospital, Beitrut, Lebanon.
authors.forename: A
authors.initials: A
authors.lastname: Jaklis
authors.forename: S
authors.initials: S
authors.lastname: Tohme
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008417:Mastoiditis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D009503:Neutropenia / Q000151:congenital*; D011552:Pseudomonas Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents