Would definitely image looking for any extension whether cutaneous or for intracranial changes. Concerned because of persistent symptoms despite antibiotics.
> Date: Fri, 1 Jun 2012 07:19:50 +0000
> From: [log in to unmask]
> Subject: mastoiditis imaging
> To: [log in to unmask]
> 9 month old healthy immunized child with 17 days OM. Treated with Amoxil x 7 days, cefdinir x 10 days, presents with protruding right ear, suppurative ROM, post auricular erythema, fever, otherwise well appearing.
> Would you image this child who has clinical mastoiditis?
> If so - CT?
> Has your practice changed due to increasing concerns about CT/radiation exposure in infants?
> Kathey Goetz
> Kathleen Goetz, MD
> Medical Director
> Swedish Pediatric Emergency Services
> Office: 206-386-3313 ED: 206-386-2573 Cell: 253-370-7571
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