A Case of Atypical Skull Base Osteomyelitis with Septic Pulmonary Embolism
Journal of Korean Medical Science
;
: 962-965, 2011.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteomielite
/
Embolia Pulmonar
/
Trombose dos Seios Intracranianos
/
Escarro
/
Proteína C-Reativa
/
Imageamento por Ressonância Magnética
/
Tomografia Computadorizada por Raios X
/
Base do Crânio
/
Doenças dos Nervos Cranianos
/
Enterobacter aerogenes
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of Korean Medical Science
Ano de publicação:
2011
Tipo de documento:
Artigo
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