A female aged 9 years with a recent episode of acute otitis media (AOM) presented to her primary care physician with complaints of severe abdominal pain with right lower quadrant rebound tenderness, suggestive of an acute surgical abdomen. Neurological examination was normal on presentation. She was transferred to the local children’s hospital for workup of appendicitis, during which she began exhibiting ataxia and slurred speech. Further evaluation revealed mastoiditis, venous sinus thrombosis and subdural empyema. Appendicitis was ruled out. We describe the first documented case of neurological complications of AOM presenting as an acute surgical abdomen without initial neurological findings.
- Infection (neurology)
- Infection (gastroenterology)
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Contributors This manuscript has not been published previously and is not under consideration for publication elsewhere. Both authors participated in the concept and design, analysis and interpretation of the data, drafting and revising of the manuscript and have approved the manuscript as submitted. The authors have no conflicts of interest to disclose.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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