Vitale Matthew, Amrit Misra, Arora Rajan, Lata Julie
McLaren Macomb Hospital, Department of Emergency Medicine.
Children's Hospital of Michigan.
Am J Emerg Med. 2017 Sep;35(9):1388.e1-1388.e2. doi: 10.1016/j.ajem.2017.07.020. Epub 2017 Jul 5.
Acute otitis media is a common diagnosis encountered by emergency medicine providers. With appropriate antibiotic treatment, patients with otitis media, in general, have minimal long-term sequela from their underlying infection (Limb et al., 2017 [1]). However, untreated cases can develop life-threatening complications that require prompt intervention. We report a case of an 8-year-old that developed Gradenigo's syndrome, a condition characterized by the triad of otitis media, facial pain in the distribution of the trigeminal nerve, and abducens nerve palsy (Yeung and Lustig, 2016; Janjua et al., 2016; Kantas et al., 2010; Motamed and Kalan, n.d.; Vita Fooken Jensen et al., 2016 [2-6]). Signs and symptoms are often subtle, so a high-level of suspicion is required in order not to miss this potentially fatal process.
急性中耳炎是急诊医学从业者常遇到的一种诊断。一般来说，通过适当的抗生素治疗，中耳炎患者潜在感染的长期后遗症极少（林姆等人，2017 [1]）。然而，未经治疗的病例可能会出现危及生命的并发症，需要及时干预。我们报告一例8岁儿童患Gradenigo综合征的病例，该综合征的特征为中耳炎、三叉神经分布区域的面部疼痛和展神经麻痹三联征（杨和卢斯蒂格，2016；詹朱亚等人，2016；坎塔斯等人，2010；莫塔梅德和卡兰，无日期；维塔·富肯·詹森等人，2016 [2 - 6]）。其体征和症状往往很细微，因此需要高度怀疑，以免漏诊这一潜在的致命病症。
