Department of Otolaryngology-Head and Neck Surgery, Second Hospital, Jilin University, China.
J Craniofac Surg. 2021;32(5):1803-1804. doi: 10.1097/SCS.0000000000007508.
Skull base osteomyelitis that is secondary to otitis media is extremely rare in the modern antibiotic era. The authors present an 84-year-old male with atypical skull base osteomyelitis that developed from otitis media during the COVID-19 pandemic due to delayed diagnosis and partial treatment which is blamed for development of skull base osteomyelitis. The atypical presentations of skull base osteomyelitis pose a diagnostic challenge. This case highlights that even otitis media is a potentially fatal infection in older patients with diabetes. Early diagnosis and aggressive management of skull base osteomyelitis are of upmost importance and will ensure a more favorable prognosis.
在现代抗生素时代，继发于中耳炎的颅底骨髓炎极为罕见。作者报告了 1 例 84 岁男性，因 COVID-19 大流行期间诊断延迟和部分治疗导致中耳炎，发展为不典型颅底骨髓炎。颅底骨髓炎的不典型表现带来了诊断上的挑战。本病例提示，即使是中耳炎，对于患有糖尿病的老年患者也是一种潜在致命的感染。早期诊断和积极治疗颅底骨髓炎至关重要，可确保更好的预后。
