Subperiosteal abscess developed from acute otitis media caused by Group A Streptococcus in a child with cochlear implant

Introduction Infections with Group A Streptococcus are currently increasing in number worldwide as a result of lifting of contact restrictions during the COVID-19 pandemic.Case presentation We report a case of temporal subperiosteal abscess that developed from severe acute otitis media in a child wi...

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Main Authors: Yohei Morita, Masamitsu Kono, Takuma Okada, Taku Fujishiro, Hideki Sakatani, Daichi Murakami, Makiko Ohtani, Shunji Tamagawa, Yusuke Koizumi, Muneki Hotomi
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Acta Oto-Laryngologica Case Reports
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Online Access:https://www.tandfonline.com/doi/10.1080/23772484.2025.2506571
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author Yohei Morita
Masamitsu Kono
Takuma Okada
Taku Fujishiro
Hideki Sakatani
Daichi Murakami
Makiko Ohtani
Shunji Tamagawa
Yusuke Koizumi
Muneki Hotomi
author_facet Yohei Morita
Masamitsu Kono
Takuma Okada
Taku Fujishiro
Hideki Sakatani
Daichi Murakami
Makiko Ohtani
Shunji Tamagawa
Yusuke Koizumi
Muneki Hotomi
author_sort Yohei Morita
collection DOAJ
description Introduction Infections with Group A Streptococcus are currently increasing in number worldwide as a result of lifting of contact restrictions during the COVID-19 pandemic.Case presentation We report a case of temporal subperiosteal abscess that developed from severe acute otitis media in a child with cochlear implant. Myringotomy and drainage of the subperiosteal abscess were performed. Group A Streptococcus infection caused severe inflammation of the middle ear mucosa, resulting in rapid spread outside the temporal bone via the mastoid cavity, forming a subperiosteal abscess around the cochlear implant.Discussion Children apparently often develop temporal swelling caused by acute inflammation after cochlear implantation. Acute otitis media in patients with a cochlear implantation requires attention to both central nervous infections, such as meningitis, and inflammation outside the temporal bone. Drainage through myringotomy should be considered at an early stage in addition to sufficient antimicrobial therapy in order to prevent progression.
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publishDate 2025-12-01
publisher Taylor & Francis Group
record_format Article
series Acta Oto-Laryngologica Case Reports
spelling doaj-art-0e1df12ac47844c3bce4e3053368ba8f2025-08-20T01:53:36ZengTaylor & Francis GroupActa Oto-Laryngologica Case Reports2377-24842025-12-01101869110.1080/23772484.2025.2506571Subperiosteal abscess developed from acute otitis media caused by Group A Streptococcus in a child with cochlear implantYohei Morita0Masamitsu Kono1Takuma Okada2Taku Fujishiro3Hideki Sakatani4Daichi Murakami5Makiko Ohtani6Shunji Tamagawa7Yusuke Koizumi8Muneki Hotomi9Department of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanDepartment of Infection Control and Prevention, Wakayama Medical University, Wakayama, JapanDepartment of Otorhinolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, JapanIntroduction Infections with Group A Streptococcus are currently increasing in number worldwide as a result of lifting of contact restrictions during the COVID-19 pandemic.Case presentation We report a case of temporal subperiosteal abscess that developed from severe acute otitis media in a child with cochlear implant. Myringotomy and drainage of the subperiosteal abscess were performed. Group A Streptococcus infection caused severe inflammation of the middle ear mucosa, resulting in rapid spread outside the temporal bone via the mastoid cavity, forming a subperiosteal abscess around the cochlear implant.Discussion Children apparently often develop temporal swelling caused by acute inflammation after cochlear implantation. Acute otitis media in patients with a cochlear implantation requires attention to both central nervous infections, such as meningitis, and inflammation outside the temporal bone. Drainage through myringotomy should be considered at an early stage in addition to sufficient antimicrobial therapy in order to prevent progression.https://www.tandfonline.com/doi/10.1080/23772484.2025.2506571Acute otitis mediaGroup A Streptococcuscochlear implantsubperiosteal abscess
spellingShingle Yohei Morita
Masamitsu Kono
Takuma Okada
Taku Fujishiro
Hideki Sakatani
Daichi Murakami
Makiko Ohtani
Shunji Tamagawa
Yusuke Koizumi
Muneki Hotomi
Subperiosteal abscess developed from acute otitis media caused by Group A Streptococcus in a child with cochlear implant
Acta Oto-Laryngologica Case Reports
Acute otitis media
Group A Streptococcus
cochlear implant
subperiosteal abscess
title Subperiosteal abscess developed from acute otitis media caused by Group A Streptococcus in a child with cochlear implant
title_full Subperiosteal abscess developed from acute otitis media caused by Group A Streptococcus in a child with cochlear implant
title_fullStr Subperiosteal abscess developed from acute otitis media caused by Group A Streptococcus in a child with cochlear implant
title_full_unstemmed Subperiosteal abscess developed from acute otitis media caused by Group A Streptococcus in a child with cochlear implant
title_short Subperiosteal abscess developed from acute otitis media caused by Group A Streptococcus in a child with cochlear implant
title_sort subperiosteal abscess developed from acute otitis media caused by group a streptococcus in a child with cochlear implant
topic Acute otitis media
Group A Streptococcus
cochlear implant
subperiosteal abscess
url https://www.tandfonline.com/doi/10.1080/23772484.2025.2506571
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