Acute average otitis
It is an infection of the cavities of the middle ear. It occurs most often between three and five years mos. Healing is spontaneous in 70% of cases. Antibiotic therapy: prevention of complications. After a viral nasopharyngitis (respiratory virus), the commençaix germs colonize the nasopharynx middle ear via the Eustachian tube. Before the age of three years, can be found Staphylococcus aureus, Streptococcus pyogenes. The warning signs of otitis are fever, ear pain, hearing loss, purulent otorrhea. Infant atypical manifestations (digestive disorders) behavioral disorders, convulsions, lack of weight gain). The otoscopic examination shows otitis congestive eardrum end and pink and ditalés vessels. As a perforated ear infection that is to say, purulent otorrhea. In this disease one can speak of certain complications such as peripheral facial paralysis; it is frequent (1 \ 200 otitis), good prognosis. Also paracentesis with bacteriological sampling. Some short corticosteroid 48 h after adaptation of the antibiotic. Also as a complication of purulent pneumococcal meningitis especially infants one year. In addition, paracentesis with bacteriological sampling. The ear CT and brain research another complication intracranial, a malformation of the inner ear. Also another complication as acute mastoiditis, characterized by periosteal reactions, rash retroauricular painful. Acute mastoiditis is externalized fluctuating swelling filling the retroauricular sulcus paracentesis with bacteriological sampling. Here a puncture with bacteriological sampling is performed, a CT of the ear and brain. As a treatment can be given antibiotics. Supervision; neuro-meningeal signs, local state. Also mastoid surgery after 24-48 h of antibiotic therapy in case of acute mastoiditis externalized.
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