Abstract Title:

Bilateral Mastoiditis from Red Tide Exposure.

Abstract Source:

J Emerg Med. 2010 Aug 26. Epub 2010 Aug 26. PMID: 20800412

Abstract Author(s):

Samantha Honner, Raphael M Kudela, Ethan Handler

Article Affiliation:

Department of Emergency Medicine, Kaiser Permanente Oakland Medical Center, Oakland, California.

Abstract:

BACKGROUND: Bilateral mastoiditis in adults has previously been reported only in association with diabetes mellitus or immunocompromised patients. OBJECTIVES: To describe a case of bilateral mastoiditis in a healthy adult and to investigate the etiology. CASE REPORT: A 53-year-old woman presented to the Emergency Department with bilateral otitis externa and mastoiditis after scuba diving during a harmful algal bloom, commonly known as a "red tide." The levels of coliform bacteria recorded at the time and location of her dive exceeded health regulatory limits and correlate with her atypical culture results. CONCLUSION: Elevated bacterial counts that result from harmful algal blooms may account for this rare infection.

Study Type : Human: Case Report

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