MP Journal of Medical Research
Presented at 13ème Congrès Somipev-Zerouali, Marrakech, 5–7 December 2025 · All posters from this congress
PediatricsOpen accessPoster communication · 2026-0008

ENT infections in pediatrics: When common conditions lead to clinical exceptions

English version of a poster presented in French.

Soraya Hani✉, N. Baddouh, Fz. Azzouzi, K. EL Mazi, S. Tizki, K. Nainia

Received 6 October 2026 · Accepted 6 October 2026 · Published 6 October 2026

DOI: https://doi.org/10.5281/zenodo.23196161

Article PDF · Original poster (PDF)

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Key messages

  1. Les infections ORL pédiatriques peuvent évoluer vers des complications intracrâniennes graves malgré leur fréquence faible.
  2. Le scanner cérébral précoce est essentiel pour identifier les formes nécessitant une intervention chirurgicale.
  3. Le syndrome de Lemierre, bien que rare, présente une mortalité élevée sans traitement rapide combinant antibiothérapie et anticoagulation.

Abstract

Introduction

ENT infections are common in children and usually benign, but some can progress to severe complications threatening vital prognosis. These situations are often underestimated due to discreet or misleading initial clinical presentations.

Materials and methods

This study reports three clinical cases hospitalized in the pediatric department of CHU Mohamed VI in Agadir during 2024, highlighting diagnostic pitfalls, warning signs not to be overlooked, and the importance of rapid management.

Results

The three cases illustrate severe complications of ENT infections: purulent acute otitis media complicated by meningism with osteitis and venous thrombosis, meningitis with subdural empyema and thrombophlebitis, and fronto-ethmoido-spheno-maxillary pansinusitis with cerebral abscesses and empyemas. All received prolonged antibiotic therapy and anticoagulant or surgical treatment as needed, with favorable outcomes.

Conclusion

Pediatric ENT infections can lead to severe intracranial complications, which are rare but have high mortality. Early brain CT scan is a key diagnostic and management tool. Lemierre's syndrome, although rare, is a dramatic vascular complication requiring rapid treatment combining prolonged antibiotic therapy and anticoagulation.

Original poster

References

  1. Demaret et al., 2023
  2. Bouchard et al., 2022
  3. Nguyen, 2025
  4. Khaled et al., 2024
Keywords
ENT infections · pediatrics · intracranial complications · Lemierre syndrome · antibiotic therapy · brain CT scan
Received
6 October 2026
Accepted
6 October 2026
Published
6 October 2026
Peer review
Single-anonymized review by the Editorial Board · How we review
DOI
https://doi.org/10.5281/zenodo.23196161
License
© The Authors 2026. Distributed under CC BY 4.0
Journal
MP Journal of Medical Research · ISSN 3144-8402

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