title: Rare but numerous serious complications of acute otitis media in a young child.
abstract: Acute otitis media is a very common disease in children. Most children recover with symptomatic therapy like potent analgesics, but occasionally serious complications occur. We present a 3-year-old girl who suffered from acute otitis media for already 2 weeks and presented with fever, abducens nerve palsy of her left eye and vomiting. She was finally diagnosed with an acute otitis media complicated by a mastoiditis, sinus thrombosis, meningitis and cerebellar empyema. Fusobacterium necrophorum was cultured from cerebrospinal fluid. The girl recovered following appropriate antibiotic and anticoagulation treatment.
authors.affiliation: Department of Pediatrics, HAGAziekenhuis/Juliana Children's Hospital, The Hague, The Netherlands.
authors.forename: Mariëtte P E
authors.initials: MP
authors.lastname: Van Munster
authors.forename: Frank
authors.initials: F
authors.lastname: Brus
authors.forename: Dick
authors.initials: D
authors.lastname: Mul
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D002526:Cerebellar Diseases / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D002675:Child, Preschool; D004653:Empyema / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D005260:Female; D005674:Fusobacterium Infections / Q000188:drug therapy / Q000209:etiology*; D005675:Fusobacterium necrophorum / Q000302:isolation & purification; D006801:Humans; D008417:Mastoiditis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D008581:Meningitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D010033:Otitis Media / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D012851:Sinus Thrombosis, Intracranial / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants