History of Present Illness:
A 2 year is brought in by parents for 4 days of low grade fever after getting over a URI and 1 day of swelling behind her left ear
Vital Signs & Physical Exam:
Vital signs are normal. Physical exam is also normal except for left sided otitis media and swelling behind the left ear
What is the most likely diagnosis?
- A) Non-accidental trauma
- B) Mastoiditis
- C) Congenital branchial cleft cyst
- D) Normal variant
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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QUIZ ANSWER:
- A) Non-accidental trauma
- B) Mastoiditis – CORRECT
- C) Congenital branchial cleft cyst
- D) Normal variant
1-Minute Consult on this topic: Click HERE and scroll to MASTOIDITIS
CASE CONCLUSION: CT showed mastoiditis with sub-periosteal abscess and small intracranial epidural abscess in the sigmoid fossa (see below). Transferred to Children’s Hospital. MRI + MRV with contrast confirmed findings with no cerebral venous thrombosis. Went to the OR for the abscess. Completed 4 weeks of IV then PO ABX and did well.
