Acute Mastoiditis
First Line
Ceftriaxone (at CNS doses) IV + Metronidazole IV/PO for 10-14 days - minimum 5 days IV
Co-amoxiclav PO for oral switch
Anaphylaxis (including severe skin reaction) to penicillin / cephalosporins
Vancomycin IV + gentamicin IV + metronidazole IV/PO
- Notes
Involve ENT