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Postauricular swelling secondary to salmonella extradural abscess in a toddler: a near miss condition
  1. Chee Chean Lim,
  2. Jeyasakthy Saniasiaya and
  3. Jeyanthi Kulasegarah
  1. Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  1. Correspondence to Dr Jeyasakthy Saniasiaya; shakthy_18{at}yahoo.com

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.

  • ear
  • nose and throat/otolaryngology
  • paediatrics

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Footnotes

  • Twitter @Otology

  • Contributors CCL: writing, editing, literature review. JS: writing, editing, literature review. JK: editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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