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J Emerg Med. 2012 Oct;43(4):663-6. doi: 10.1016/j.jemermed.2010.06.007. Epub 2010 Aug 30.

Bilateral mastoiditis from red tide exposure.

Author information

1
Department of Emergency Medicine, Kaiser Permanente Oakland Medical Center, Oakland, California, USA.

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.

PMID:
20800412
DOI:
10.1016/j.jemermed.2010.06.007
[Indexed for MEDLINE]

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