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双侧急性中耳炎所致颅底骨髓炎:病例报告及文献综述

Skull base osteomyelitis due to bilateral acute otitis media: Case report and literature review.

作者信息

El Mansoury Fatima Zahrae, Messaoud Ola, El Yousfi Zakia, Abdellaoui Mohamed, Saouab Rachida, El Fenni Jamal

机构信息

Department of Radiology, Mohammed V Military hospital, University of Medicine and pharmacy of Rabat, Morocco.

出版信息

Radiol Case Rep. 2024 Aug 14;19(11):4871-4874. doi: 10.1016/j.radcr.2024.07.091. eCollection 2024 Nov.

Abstract

Skull base osteomyelitis is a rare and serious condition that primarily affects immunocompromised individuals and can be life threatening if not treated promptly. It can have various origins, with the most common being an extension of necrotizing external otitis. It is difficult to diagnose due to a wide array of clinical presentations. Imaging plays an important role in the diagnosis, identification of the possible source of infection, the extent of the disease, the pattern of spread and identification of associated complications. Early diagnosis is crucial to promptly initiate appropriate treatment. We report here a rare case of a 68-year-old patient presenting with skull base osteomyelitis resulting from bilateral otitis media, which is a rare condition.

摘要

颅底骨髓炎是一种罕见且严重的疾病,主要影响免疫功能低下的个体,若不及时治疗可能危及生命。它可有多种起源,最常见的是坏死性外耳道炎的蔓延。由于临床表现多种多样,其诊断较为困难。影像学在诊断、确定可能的感染源、疾病范围、传播模式以及识别相关并发症方面发挥着重要作用。早期诊断对于及时启动恰当治疗至关重要。我们在此报告一例罕见病例,一名68岁患者因双侧中耳炎引发颅底骨髓炎,这是一种罕见情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3dd/11367273/401bae136cd4/gr1.jpg

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