Blaser B, Greusing B, Häusler R
Universitätsklinik für Hals-, Nasen- und Ohrenkrankheiten, Hals-, Kiefer- und Gesichtschirurgie, Inselspital Bern.
Schweiz Med Wochenschr. 2000;Suppl 125:23S-26S.
The case of a 72-year-old woman suffering from chronic otitis media is presented. This insulin dependent diabetic patient was under steroid therapy for collagenosis and suffered from chronic polysinusitis. After two preceding drainages of the mastoid (antrotomy and mastoidectomy), the patient developed putrid mastoiditis followed by Bezold's abscess, an epidural abscess and thrombosis of the sigmoid sinus. Lateral petrosectomy and drainage of the neck were performed, but the patient again developed an abscess with extension to the lateral skull base, the foramen magnum and the upper cervical spine. After a further operation with extensive drainage and a three-month course of antibiotic treatment with ceftriaxon, the infection finally healed. A germ of the Streptococcus milleri group was identified.
本文介绍了一名72岁患有慢性中耳炎的女性病例。该患者为胰岛素依赖型糖尿病患者，因胶原病接受类固醇治疗，同时患有慢性鼻窦炎。在之前进行了两次乳突引流术（乳突切开术和乳突切除术）后，患者发展为腐败性乳突炎，随后出现贝佐尔德脓肿、硬膜外脓肿和乙状窦血栓形成。进行了外侧岩骨切除术和颈部引流，但患者再次出现脓肿，并蔓延至外侧颅底、枕骨大孔和上颈椎。在进一步进行广泛引流手术并使用头孢曲松进行为期三个月的抗生素治疗后，感染最终痊愈。鉴定出一株米勒链球菌属细菌。
