otitis media/uppköst

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Children with fever and vomiting benefit from immediate antibiotics for acute otitis media.

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Starting antibiotics immediately in children with acute otitis media accompanied by fever or vomiting results in better symptom relief and decreased sleep disturbance when measured after 3 days, as compared with no treatment. Parents who consider these outcomes important may prefer not to delay

Otitis media and CNS complications.

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Intracranial complications from otitis media can be quite devastating to the patient if an early diagnosis is not made. Patients may develop meningitis, venous sinus thrombosis or cranial nerve palsies, as well as intracranial abscess. The presenting features in such cases may be subtle and include

A case of headache attributed to otitis media chronica cholesteatomatica with cerebral sigmoid sinus thrombosis.

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Otitis media chronica cholesteatomatica with cerebral sigmoid sinus thrombosis is an important differential diagnosis in the evaluation of headache. We describe a 31-year-old Filipino man with chief complaints of headache, otalgia, vomiting, and vertigo, and no significant past medical history. Two

Clinical role of respiratory virus infection in acute otitis media.

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The clinical characteristics of acute otitis media in relation to coexisting respiratory virus infection were studied in a 1-year prospective study of 363 children with acute otitis media. Respiratory viruses were detected using virus isolation and virus antigen detection in nasopharyngeal specimens

A case of lateral sinus insufficiency with acute otitis media: Early surgical intervention for prevention of lateral sinus thrombosis.

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OBJECTIVE To describe a case of lateral sinus insufficiency, presumably occurring just prior to lateral sinus thrombosis (LST), and to discuss the importance of early surgical intervention and the pathophysiology of full-blown LST. METHODS A 4-year-old boy developed headaches and vomiting after

Intratemporal complications from acute otitis media in children: 17 cases in two years.

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BACKGROUND To describe the clinical features of intratemporal complications of acute otitis media (AOM) in children, a retrospective study was carried out for two years. METHODS We considered acute mastoiditis, presence of postauricular swelling, erythema and tenderness and anteroinferior

Single-dose (30 mg/kg) azithromycin compared with 10-day amoxicillin/clavulanate for the treatment of uncomplicated acute otitis media: a double-blind, placebo-controlled, randomized clinical trial.

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BACKGROUND The long half-life of azithromycin allows for single-dose oral therapy for acute otitis media (AOM). OBJECTIVE This study was designed to compare the efficacy and tolerability of single-dose azithromycin with 10-day, twice-daily amoxicillin/clavulanate for the treatment of new-onset,

Delayed versus immediate antimicrobial treatment for acute otitis media.

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BACKGROUND Watchful waiting with the option of delayed antimicrobial treatment for acute otitis media is recommended in several guidelines. Our aim was to study whether delayed, as compared with immediate, initiation of antimicrobial treatment worsens the recovery from acute otitis media in young

Suppurative otitis media in Angola: clinical and demographic features

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Objective: To describe the demographics and clinical findings in patients with otorrhea in Angola. Methods: A total of 411 patients with otorrhea presenting in the ear, nose,

Bitter taste perception and severe vomiting in pregnancy.

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Hyperemesis gravidarum or severe vomiting during pregnancy is a condition of elusive etiology that can harm both mother and fetus. This study examined the association between increased bitter-taste perception and history of hyperemesis gravidarum. Bitter-taste perception varies genetically and can

Lateral sinus thrombosis after untreated otitis media. A clinical problem--again?

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Antimicrobial agents have greatly reduced the incidence of intracranial complications of infections of the middle ear and mastoid. Too many prescriptions and overconsumption of antibiotics when otitis media is suspected has caused resistance to many antibiotics, leading to a pronounced and

[The efficacy of droperidol, metoclopramide, propofol, and ondansetron for the prevention of nausea and vomiting following middle ear surgery].

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OBJECTIVE The efficacy and reliability of prophylactic antiemetic therapy with low dose propofol, droperidol, metoclopramide, and ondansetron were evaluated in a randomized, double-blind, and prospective design. METHODS A total of 101 ASA I-II patients (34 females, 67 males; age range 16 to 53

Cefixime compared with amoxicillin for treatment of acute otitis media.

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Cefixime was compared with amoxicillin for treatment of acute otitis media in a randomized trial. Results of tympanocentesis on day 3 to 5 of therapy were used as the major outcome. Total daily doses were 8 mg/kg of cefixime and 40 mg/kg of amoxicillin. One hundred twenty-six patients were randomly

Cerebral venous sinus thrombophlebitis as a complication of acute otitis media.

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BACKGROUND While headache is a common emergency department chief complaint, cerebral venous sinus thrombosis (CVST) is an infrequently encountered cause of headache and is often not included in emergency physicians' differential diagnoses for headache. Our objective is to review the latest data on

Early signs and symptoms of intracranial complications of otitis media in pediatric and adult patients: A different presentation?

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OBJECTIVE The aim of this study was to review the clinical presentation and early signs and symptoms of otogenic intracranial complications (OIC) in children and adults. METHODS retrospective chart review. The medical records of all children and adults admitted in our center with OIC during the

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