Postauricular swelling secondary to salmonella extradural abscess in a toddler: A near miss condition

Lim, Chee Chean and Saniasiaya, Jeyasakthy and Kulasegarah, Jeyanthi (2021) Postauricular swelling secondary to salmonella extradural abscess in a toddler: A near miss condition. BMJ Case Reports, 14 (7). ISSN 1757-790X, DOI https://doi.org/10.1136/bcr-2021-243412.

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Abstract

Postauricular swelling is usually encountered in an emergency setting in otorhinolaryngology, resulting from complication of acute or chronic suppurative otitis media. Besides that, postauricular swelling may occur secondary to various other conditions including infectious disease, tumour, vascular malformation, granulomatous condition and even trauma. Children less than 2 years old are prone to fall and up to 10% sustain traumatic brain injury without any obvious signs of neurological deficit. We describe a rare case of a postauricular swelling in a toddler which turned out to be salmonella extradural abscess from an infected traumatic haematoma. The importance of high clinical suspicion especially in a child with a history of fall cannot be emphasised more because a missed brain abscess could lead to potentially life-threatening problems. We would like to highlight that meticulous history taking along with prompt assessment and intervention is prudent for a better prognosis and recovery.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Ear; Nose and throat; Otolaryngology; Paediatrics
Subjects: R Medicine > RC Internal medicine
R Medicine > RF Otorhinolaryngology
Divisions: Faculty of Medicine > Otorhinolaryngology Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 29 Aug 2022 01:50
Last Modified: 29 Aug 2022 01:50
URI: http://eprints.um.edu.my/id/eprint/35026

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