Differentiating mastoiditis from other diseases
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Mastoiditis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Overview
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling such as lymphadenopathy, periauricular cellulitis, auricle perichondritis, mumps and mastoid tumors. These diseases may be distinguished from mastoiditis via clinical finding and laboratory testing.
Differentiating Mastoiditis from other Diseases
Mastoiditis must be differentiated from other diseases that cause postauricular inflammation or swelling.[1][2][3]
| Disease | History and symptoms | Physical examinations | laboratory findings |
|---|---|---|---|
| Mastoiditis | History of otitis media, Posterior ear pain | Local erythema and tenderness and edema on the mastoid bone, outward and upward displaced auricle, abnormal tympanic membrane | Leukocytosis and high sediment rate may be presents |
| Lymphadenopathy | Well defined and mobile mass, | No effect on auricle and tympanic mass | Leukocytosis and high sediment rate may be presents or may be normal |
| Periauricular inflammation or cellulitis | History of a minor bite or minor trauma, commonly exists. Pain and Redness in the site. | Tympanic membrane is normal. | Leukocytosis and high sediment rate may be presents |
| Perichondritis of the auricle | Swelling and erythema of the pinna. | The postauricular crease is preserved, and the tympanic membrane appears normal. | leukocytosis and high sediment rate may be presents |
| mumps | Parotid glands swelling, pain presents | Tympanic membrane is normal | Mild leukocytosis may be presents |
| Mastoid tumors | Painless mass | Tympanic membrane is normal | Normal white blood cell count, normal ESR |
References
- ↑ Bluestone CD (2000). "Clinical course, complications and sequelae of acute otitis media". Pediatr. Infect. Dis. J. 19 (5 Suppl): S37–46. PMID 10821471.
- ↑ van den Aardweg MT, Rovers MM, de Ru JA, Albers FW, Schilder AG (2008). "A systematic review of diagnostic criteria for acute mastoiditis in children". Otol. Neurotol. 29 (6): 751–7. doi:10.1097/MAO.0b013e31817f736b. PMID 18617870.
- ↑ Minovi A, Dazert S (2014). "Diseases of the middle ear in childhood". GMS Curr Top Otorhinolaryngol Head Neck Surg. 13: Doc11. doi:10.3205/cto000114. PMC 4273172. PMID 25587371.