KNOW Homoeopathy Journal
Volume-1 | Issue-1 | October-2021
Title: Mastoiditis: An Evidence-based case report treated with homoeopathy
Authored By: Dr Mohammed Saif Ali Khan1 & Co-Authored By: Dr Rohan
Badgujar2
1. Homoeopathic Physician
2. Homoeopathic Physician
Cite this Case Report as:
KNOW Homoeopathy Journal
Volume-1 | Issue-1 | October-2021
ABSTRACT: Mastoiditis is a typical side effect of acute otitis media. Mastoiditis is a condition in which the mastoid air cells in the temporal bone become inflamed. The mastoid air cells, which connect the middle ear chamber to the outside world, are epithelium-lined bone septations. Children are more susceptible to middle ear infections than adults, therefore they have a larger risk of developing acute mastoiditis.[1]
KEYWORDS: Acute Mastoiditis, Mastoid air cells, Middle Ear Cavity, Acute Otitis
Media, Lateral Sinus.
INTRODUCTION[2]
Acute mastoiditis was rather prevalent among children. Because the air cells in the mastoid are related to the middle ear, the fluid collection and infection processes in the mastoid and middle ear are typically the same. The frequency of acute mastoiditis has decreased to only 1.2-2.0 instances per 100,000 person-years in countries with high prescription rates, because to early and frequent treatment of acute otitis media.
PATHOPHYSIOLOGY[2]
In typical acute mastoiditis, purulent exudates collect in mastoid air cells, producing pressure that may lead to bone erosion and the formation of abscess-like cavities, which can be seen on CT scans.
CLINICAL
FEATURES[2]
Pain, erythema, and edoema of the mastoid process, as well as pinna displacement, are characteristic signs and symptoms of an acute middle ear infection in this patient.
The patient may suffer catastrophic repercussions if the infection penetrates through the periosteum of the temporal bone, generating a subperiosteal abscess, or erodes through the mastoid tip, causing septic thrombosis of the lateral sinus.
CASE RECORD
A boy of 10yr old
suffering from mastoiditis since 15 days & congenital hearing loss with
swelling on back of left ear came to us on 12/12/2020.
PRESENT HISTORY
Pulsating Pain with
redness since 4 Days and swelling behind left ear since 15 days. Frontal headache
with pulsating type of pain is present along with it.
PHYSICAL GENERALS
Desire : Egg, Cold water, namkeen
Tongue :white coated
Mind:- Fear of animals,Fear of darkness,
Religious mania, fear of height, During anger stammering
Thermal Reaction:- Chilly
Perspiration:- increase specially
on chest
ANALYSIS OF CASE
Mental Generals:
Fear of Animals,Fear of Darkness,Fear of Height
Physical Generals: Chilly
Patient, Desires for Egg, Cold water
Particulars:
Swelling on back of left ear with pulsating pain with redness and pulsating
pain in forehead.
Evaluation of
Symptoms
Fear of Animals
Fear of Darkness
Desire egg, cold
water
Behind left ear
swelling with redness with pulsating pain
Pulsating pain in forehead.
Synthesis Repertory is selected due
to presence of prominent mental symptoms and marked particulars.
REPERTORIAL TOTALITY WITH
REPERTORIZATION
REPERTORIAL ANALYSIS
On first visit Belladonna has been
given to the patient in 30 CH potency by considering Redness,swelling and pain
of left ear and forehead.
Table 1: Follow up
sheet
|
Date
|
Symptoms
|
Prescribed Medicine
|
|
12/12/2020
|
Pulsating
pain in left ear with redness & swelling.
Pulsating
pain in forehead.
|
Rx Belladonna 30 2/dose
Phytum 30 TDS X 5 Days
|
|
17/12/2020
|
Head
pain slightly decreases but Ear pain is constant
|
Rx Phytum 30 TDS X 5 Days
|
|
23/12/2020
|
S.Q.
|
Rx Belladonna 200 /1 Dose Stat
Phytum 30 TDS X 5 Days
|
|
29/12/2020
|
Head
Pain is Relieved with pus formation & Ear pain is same as before.
|
Rx Phytum 30 TDS X 5 Days
|
|
03/01/2021
|
S.Q.
|
Rx Calc Carb 200/ 1Dose Stat
Phytum 30 TDS X 5 Days
|
|
09/01/2021
|
Relief in Ear pain with discharge of pus
|
Rx Sac Lac 200/ 1Dose Stat Phytum 30 TDS X 5 Days
|
|
15/01/2021
|
Major improvement in all symptoms with no discharge.
|
Rx Phytum 30 TDS X 5 Days
|
 |
| First Visit |
 |
| Fourth Visit |
 |
Sixth Visit
|
 |
| Last Visit |
