A rare presentation of complicated acute otitis media: a case report


Author(s): Abdullah Musleh, Hussain Almohiy

Extracranial complications of Acute Otitis Media (AOM) are uncommon but usually associated with severe adverse outcomes. Here we report the case of an 8-year-old Saudi boy who presented with left-sided facial oedema and proptosis, with ear pain and fever. Clinically, the patient had severe oedema in his left eye, confirmed by redness, and otitis media diagnosed by tympanometry. Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) showed a left mastoiditis and middle-ear collection of fluid, associated with severe soft-tissue oedema involving the orbit, zygomatic arch and temporoparietal region, without abscess formation. The diagnosis was AOM complicated by mastoiditis and soft-tissue oedema, and left eye proptosis. Considering the bodyweight of the patient, intravenous ceftriaxone and clindamycin were administered, followed by direct improvement. The oedema subsided 2 weeks later with the resolution of symptoms and, ultimately, complete healing. Clinicians should apply caution with complicated or refractory cases of AOM because of the potential lethal outcomes.

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Awards Nomination

Editors List

  • Prof. Elhadi Miskeen

    Obstetrics and Gynaecology Faculty of Medicine, University of Bisha, Saudi Arabia

  • Ahmed Hussien Alshewered

    University of Basrah College of Medicine, Iraq

  • Sudhakar Tummala

    Department of Electronics and Communication Engineering SRM University – AP, Andhra Pradesh




  • Alphonse Laya

    Supervisor of Biochemistry Lab and PhD. students of Faculty of Science, Department of Chemistry and Department of Chemis


  • Fava Maria Giovanna


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