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Pathological Case of the Month FREE

R. Hubert Laeng, MD; Jody Stähelin, MD; Patrick Schaller, MD; André Arnoux, MD
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Section Editor: Enid Gilbert-barness, MD

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Arch Pediatr Adolesc Med. 2002;156(2):191. doi:10.1001/archpedi.156.2.191.
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A 15-MONTH-OLD girl developed a right facial nerve palsy (Figure 1) while receiving oral treatment with amoxicillin for a sore throat and bilateral otitis media of one week's duration. On physical examination, bilateral otomastoiditis, perforation of the left tympanic membrane, and right-sided cervical lymphadenopathy were found. Bilateral mastoidectomy/antrotomy was performed: on gross inspection, the mucosa appeared dark red, swollen, and polypoid. The diagnostic histological findings of the biopsy specimens are shown in Figure 2 and Figure 3. Oral steroids were given for 5 days, and amoxicillin–clavulanic acid was administered intravenously for 14 days. At follow-up 4 months later there was complete recovery including resolution of the nerve deficit.

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Accepted for publication August 26, 1999.

Corresponding author: R. Hubert Laeng, MD, Department of Pathology, Kantonsspital, CH-5001 Aarau, Switzerland (e-mail: laeng@ksa.ch).

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