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Mastoiditis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   could it mean that there is a possibility of cholesteatoma and or chronic mastoiditis because i have a small collection of fluid in the mastoid cavity, (found during scan) i have chronic otitis externa and awaiting meatoplasty, it is not entirely positive yet but they are going to look at the entire ear while i am under anaestehetic
Doctor :   Hi
Doctor :   I a
Doctor :   Let me read the query
Doctor :   Give me a couple of minutes
Doctor :   It is good to comment completely after EUA (examination under anesthesia)
Doctor :   However I shall give you few details
Doctor :   Chronic mastoiditis has a possibility of having a cholesteatoma

Doctor :   when it presents in conjunction with Chronic otitis externa
Doctor :   May I ask few more details
Doctor :   What is your age and since when are you having the present complaints?
User :   hi, yes
User :   several years now and i am 49, the problem has really escalated and i have recurrent facial cellulitis which over the pas t 3 years has become more and more systemic, venflons are no good now and iv treatment is given through central lines i have gone into septic shok and spent time in the hdu i think my ears set it all off
Doctor :   Ok I understand that you have other problems also
Doctor :   Did your doctors find the cause of the septic shock?
Doctor :   Are you a diabetic?
User :   to be honest i have to date no immunity problems and my consultant cannot understand every test that can be done has been he calls me a complete mystery
Doctor :   Ok
Doctor :   Did you take a second opinion from another Otologist?
User :   i have 7 years ago suffred pseudomonas in both ears and the last swabs found multi flora
Doctor :   Ok
Doctor :   Did they test for diabetes?
User :   i should mention ent have had very little input and my main carer is consultant microbiology and infectious disease, and yes they did test but nothing
Doctor :   Ok
Doctor :   Do you have any other problem apart from relating to ear?
Doctor :   because septic shock is something serious to think about
Doctor :   Like tired nesss, loss of weight, enlarged lymphnodes,
Doctor :   recurrent infections
Doctor :   When was the time of your septic shock?
User :   i do not diet but my weight fluctuates, no throat infections only the facial cellulitis of face i did suffer leg cellulisi on1 occasion buet they think that was because of venflon, my consultant says when i am well he cannot help me, the septic shock was a year last january and started with a flare up in the ear and then facial cellulitis
Doctor :   Oh, why did the ENT not explore it yet?
User :   i am always tired
Doctor :   Thyroid and immunological disorders?
Doctor :   Any family history?
Doctor :   any details on these?
User :   they did not believe that it was the ear and sent me to dermatology who tested me for all allergie and skin disorders and all negative,
Doctor :   OK

Doctor :   So as I said
Doctor :   Cholesteatoma is associated with these two findings
Doctor :   of Chronic otitis externa
Doctor :   and Mastoiditis

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