Actinomyces and Shewanella algae complicated paediatric mastoiditis: a case report of a multidisciplinary approach

Author:

Martins Sousa Mafalda12ORCID,von Hafe Madalena34,Reis-Melo Ana54,Silveira Helena21,Coutinho Gil21,Moura Carla Pinto671

Affiliation:

1. Department of Otorhinolaryngology, Centro Hospitalar Universitário São João, EPE, Porto, Portugal

2. Unit of Otorhinolaryngology, Departament of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal

3. Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal

4. Department of Pediatrics, Centro Hospitalar São João EPE, Porto, Portugal

5. Pediatric Infectious Diseases and Primary Immunodeficiencies Unit, Centro Hospitalar Universitário do São João, Porto, Portugal

6. Institute for Research and Innovation in Health/Instituto de Investigação e Inovação em Saúde i3S, Portugal, Porto University, Porto

7. Genetics Department, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal

Abstract

Cerebral venous sinus thrombosis in children is a rare complication of acute mastoiditis that can potentially be fatal. Clinical expertise is essential for early diagnosis and management due to its subtle course. We present the first known case of paediatric acute mastoiditis with venous sinus thrombosis caused by Shewanella algae and Actinomyces europaeus . A 17-year-old male presented clinical signs of right acute otitis media and mastoiditis. Brain computed tomography showed mastoid opacification, cerebral sinus thrombosis and an extradural collection. Microbiology revealed the presence of S. algae and A. europaeus . A multidisciplinary approach combining medical and surgical treatment allowed the patient to make a full recovery.

Publisher

Microbiology Society

Subject

General Medicine

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