The changing pattern of mastoid abscess

Acute mastoiditis in infancy: the “Soroka” experience: 1990–2000

“…(1) A significant increase in the incidence of AM in infants was recorded over the last decade, though a specific reason for this trend remains uncertain; (2) Most of the cases of AM followed the infant's initial AOM episode, and most of the infants had not received prior antibiotic therapy; (3) The clinical signs and symptoms of AM were more severe in infants than in older patients; (4) While S. pneumonia was the most common pathogen isolated in middle ear fluid cultures, the involvement of S. pyogenes in AM was higher than that reported in AOM. # 2004 Elsevier Ireland Ltd. All rights reserved.…”

“…In 1891, St. John Rosa reported on 93 cases of AM, with only two cases occurring in infants [1]. This approximate ratio remains true nowadays in lesserdeveloped countries where antibiotics are not readily available [2]. In recent years, there has been an apparent increase in the incidence of AM in all age groups, and especially in infants in the more developed countries [3][4][5][6][7][8][9].…”

Contemporary Presentation and Management of a Spectrum of Mastoid Abscesses

“…As a result, the King's abscess led to his death, and the world had to wait nearly 300 years before postauricular incision and drainage of mastoid abscess was popularized by William Wilde 15 . Mastoid abscess is now uncommon in Europe and the United States, but remains prevalent in other parts of the world, such as Nigeria 16 …”