Wydawnictwo Medyczne Mediton
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Under the scientific patronage of

the Polish Society of Audiology and Phoniatrics

 

Case study

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Mastoditis as an acute otitis media complication in a child with severe congenital chronic neutropenia
Beata Pucher 1/, Katarzyna Jończyk-Potoczna 2/, Jakub Sroczyński 1/, Jagoda Kolasińska-Lipińska 1/, Benigna Konatkowska 3/, Bartosz Polski 1/, Michał Ryglewicz 1/, Jarosław Szydłowski 1/
  • 1/ Klinika Otolaryngologii Dziecięcej Katedry Otolaryngologii Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu
  • 2/ Zakład Radiologii Pediatrycznej Szpitala Klinicznego im. K. Jonschera Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu
  • 3/ Klinika Onkologii, Hematologii i Transplantologii Pediatrycznej Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu

Congenital neutropenia belongs to a heterogeneous group of primary immunodeficiencies. Their common feature is constant,
significantly decreased number of neutrophils. Diagnosis is usually confirmed in infancy based on the characteristic clinical symptoms, which include recurrent fevers and infections, i.e. periodontal inflammation, ulceration of the oral mucosa and the anal region.
A case of 20-month-old boy is reported who was admitted to the Department of Pediatric Otolaryngology in Poznan in December
2012 for acute mastoiditis. Initially, after antromastoidectomy the inflammatory parameters became less severe; then, despite treatment with antibiotics, patient’s body temperature grew up to 40 degrees centigrade. In the 36th day after ear surgery there was postoperative wound dehiscence. The boy was transferred to the Department of Hematology, Oncology and Pediatric Transplantation and he was diagnosed with severe congenital neutropenia (SCN) due to ELANE gene mutation. The mutation is responsible for about 50-60% of the SCN.

Otorynolaryngologia vol 14. no 1. Marchpages: from 54to 57
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