ABSTRACT
A young man with otitis media and cholesteatoma of the left ear developed secondary cerebral abscess. The clinical debut was non-specific, with headache, mild fever, and mild persistent otalgia in spite of early antibiotic treatment. Studies revealed a cerebral abscess, so ENT surgery in collaboration with the neurosurgery department was decided. This case illustrates that clinical manifestations in such cases can be mild and highlights the need to exclude this type of serious pathology.
Subject(s)
Brain Abscess/microbiology , Cholesteatoma, Middle Ear/complications , Gram-Positive Bacterial Infections/microbiology , Peptostreptococcus , Adult , Brain Abscess/surgery , Cholesteatoma, Middle Ear/microbiology , Cholesteatoma, Middle Ear/surgery , Gram-Positive Bacterial Infections/surgery , Humans , Male , Peptostreptococcus/isolation & purification , Tomography, X-Ray ComputedABSTRACT
Presentamos el caso de un joven afecto de otitis media colesteatomatosa de oído izquierdo que desarrolló un absceso cerebral piógeno secundario. El debut clínico fue muy inespecífico, con cefalea holocraneal, febrícula y otalgia leve persistente a pesar del tratamiento antibiótico instaurado precozmente. Se evidenció un absceso cerebral tras pruebas de imagen, por lo que decidimos un abordaje conjunto junto a neurocirugía. Este caso es muy ilustrativo, de lo larvada que puede ser la clínica de estos procesos intracraneales y de la necesidad de descartar este tipo de patología, por la gravedad de la, misma (AU)
A young man with otitis media and cholesteatoma of the left ear developed secondary cerebral abscess. The clinical debut was non-specific, with headache, mild fever, and mild persistent otalgia in spite of early antibiotic treatment. Studies revealed a cerebral abscess, so ENT surgery in collaboration with the neurosurgery department was decided. This case illustrates that clinical manifestations in such cases can be mild and highlights the need to exclude this type of serious pathology (AU)
Subject(s)
Adult , Male , Humans , Peptostreptococcus , Tomography, X-Ray Computed , Gram-Positive Bacterial Infections , Cholesteatoma, Middle Ear , Brain AbscessABSTRACT
The effect of the Toynbee phenomenon in patients with nasal packing was studied. Nasal packing was used in 35 patients admitted for surgical correction of septal deviation. Middle ear pressure was measured during nasal packing and the results were compared with nasopharyngeal pressure gradients recorded during the Toynbee maneuver. The aim of the study was to demonstrate that one of the main causes of tube dysfunction during nasal obstruction is the Toynbee phenomenon.
