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Mastoiditis can lead to abscess formation, clot development, and bacterial meningitis. This is progression of acute otitis media (AOM) affecting the mastoid air cells, which release push and cause these complications. Think otitis media, middle ear, closer to respiratory orgnaisms. The common bugs are S. pneumoniae, H. influenzae, and M. catarallis. First line therapy is oral Augmentin (amox-clav). Alternatives include 2nd/3rd gen cephalosporins, azithromycin, doxycycline, and levofloxacin. I’d
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