A Case of Mastoiditis with Chronic Granulomatous Disease
Report of a Case
1991 Volume 1 Issue 2 Pages 39-43
Details
1991 Volume 1 Issue 2 Pages 39-43
A case of chronic granulomatous disease (CGD) in an 11-year-old boy suffering from right otalgia is reported. Based on the diagnosis of acute otitismedia, myringotomy was performed and antibiotics were given. However, the patient developed right facial palsy and an intermittent fever. Since X - ray examination and CT scan showed a diffuse shadow in the right mastoid, simple mastoidectomy was performed and it revealed the mastoid cavity filled with granuloma and the temporal bone so much destroyed as to expose the facial nerve. Despite of the removal of granuloma, fever persisted and CT scan showed advanced destrucion of the temporal bone. The patient was reoperated on, and regenerated granuloma was removed and the posterior canal wall of the external meatus was excised. After this second operation, the patient improved remarkably in his general condition, and there was no recurrence of the symptoms.
This experience suggested that surgical intervention is indicated for mastoiditis in patients with CGD, especially when facial palsy is accompanied. And in such cases, the “open method” seems to be preferable for prevention of possible regeneration of granuloma.
