Mastoidectomy is indicated in cases where a mastoid abscess has formed
May present with fever, posterior ear pain and local erythema over the mastoid bone, edema of the pinna, or a posteriorly and downward displaced fracture
Consider tubercular mastoiditis
Seek advice from ENT surgeons/Infectious disease consultant for treatment guidance
Ciprofloxacin 0.2% with Hydrocortisone 1% topical ear drops 3drops BID
OR
Alternative treatment
PLUS
If MRSA colonised or at risk for MRSA infection, ADD
The duration of treatment is based on the clinical improvement