一例罕见的双侧恶性外耳道炎及骨髓炎伴下颅神经后遗症。
A rare case of bilateral malignant otitis externa and osteomyelitis with lower cranial nerve sequelae.
作者信息
Leahy Travis William, Sader Chady
机构信息
ENT Department, Fremantle Hospital, Perth, Western Australia, Australia.
出版信息
BMJ Case Rep. 2011 May 12;2011:bcr0320113957. doi: 10.1136/bcr.03.2011.3957.
Abstract
The authors present the case of a 76-year-old male who presented with right-sided recurrent malignant otitis externa (MOE) and skull-base osteomyelitis. His management involved aggressive antimicrobial therapy and multiple hyperbaric oxygen treatments. After resolution of his right-sided infection, the patient returned a short time later with symptoms and findings consistent with new, left-sided MOE with involvement of the left skull-base. With repeat treatment, the patient is now cured of his infection but poses a challenge to the treating team about future management.
摘要
作者报告了一例76岁男性患者，该患者出现右侧复发性恶性外耳道炎（MOE）和颅底骨髓炎。其治疗包括积极的抗菌治疗和多次高压氧治疗。右侧感染消退后，患者不久后再次出现症状和检查结果，提示新发左侧MOE并累及左侧颅底。经过再次治疗，患者目前感染已治愈，但给治疗团队带来了关于未来管理的挑战。
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