A Case of Atypical Skull Base Osteomyelitis with Septic Pulmonary Embolism
Journal of Korean Medical Science
;
: 962-965, 2011.
Artículo
en Inglés
| WPRIM
| ID: wpr-31547
ABSTRACT
Skull base osteomyelitis (SBO) is difficult to diagnose when a patient presents with multiple cranial nerve palsies but no obvious infectious focus. There is no report about SBO with septic pulmonary embolism. A 51-yr-old man presented to our hospital with headache, hoarseness, dysphagia, frequent choking, fever, cough, and sputum production. He was diagnosed of having masked mastoiditis complicated by SBO with multiple cranial nerve palsies, sigmoid sinus thrombosis, and septic pulmonary embolism. We successfully treated him with antibiotics and anticoagulants alone, with no surgical intervention. His neurologic deficits were completely recovered. Decrease of pulmonary nodules and thrombus in the sinus was evident on the follow-up imaging one month later. In selected cases of intracranial complications of SBO and septic pulmonary embolism, secondary to mastoiditis with early response to antibiotic therapy, conservative treatment may be considered and surgical intervention may be withheld.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Osteomielitis
/
Embolia Pulmonar
/
Trombosis de los Senos Intracraneales
/
Esputo
/
Proteína C-Reactiva
/
Imagen por Resonancia Magnética
/
Tomografía Computarizada por Rayos X
/
Base del Cráneo
/
Enfermedades de los Nervios Craneales
/
Enterobacter aerogenes
Tipo de estudio:
Estudio diagnóstico
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Journal of Korean Medical Science
Año:
2011
Tipo del documento:
Artículo
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