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Otogenic Central Skull Base Osteomyelitis With Retropharyngeal Extension: A Case Report
Skull base osteomyelitis (SBO) is a life-threatening condition in patients with underlying comorbidities. Ear infections may spread through normal skull base fissures in this group of patients. However, its diagnosis is frequently delayed due to the unspecific clinical findings at onset, such as hea...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8993994/ https://www.ncbi.nlm.nih.gov/pubmed/35415030 http://dx.doi.org/10.7759/cureus.22991 |
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author | Jacobo-Pinelli, Regina Guerrero-Paz, Jose Alberto Lugo-Machado, Juan Antonio Arvizu-Flores, Jose Alberto Guerrero-Paz, Karen Paulina |
author_facet | Jacobo-Pinelli, Regina Guerrero-Paz, Jose Alberto Lugo-Machado, Juan Antonio Arvizu-Flores, Jose Alberto Guerrero-Paz, Karen Paulina |
author_sort | Jacobo-Pinelli, Regina |
collection | PubMed |
description | Skull base osteomyelitis (SBO) is a life-threatening condition in patients with underlying comorbidities. Ear infections may spread through normal skull base fissures in this group of patients. However, its diagnosis is frequently delayed due to the unspecific clinical findings at onset, such as headache, with diverse cranial neuropathies later as the disease progresses. We present the case of a patient with otogenic skull base osteomyelitis complicated with retropharyngeal extension, treated with surgical drainage and broad-spectrum antibiotics directed toward extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli, with recurrence of the infection three months later. With this case study, we aim to stress the importance of antimicrobial resistance and how it can preclude an otherwise favorable prognosis. |
format | Online Article Text |
id | pubmed-8993994 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-89939942022-04-11 Otogenic Central Skull Base Osteomyelitis With Retropharyngeal Extension: A Case Report Jacobo-Pinelli, Regina Guerrero-Paz, Jose Alberto Lugo-Machado, Juan Antonio Arvizu-Flores, Jose Alberto Guerrero-Paz, Karen Paulina Cureus Otolaryngology Skull base osteomyelitis (SBO) is a life-threatening condition in patients with underlying comorbidities. Ear infections may spread through normal skull base fissures in this group of patients. However, its diagnosis is frequently delayed due to the unspecific clinical findings at onset, such as headache, with diverse cranial neuropathies later as the disease progresses. We present the case of a patient with otogenic skull base osteomyelitis complicated with retropharyngeal extension, treated with surgical drainage and broad-spectrum antibiotics directed toward extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli, with recurrence of the infection three months later. With this case study, we aim to stress the importance of antimicrobial resistance and how it can preclude an otherwise favorable prognosis. Cureus 2022-03-09 /pmc/articles/PMC8993994/ /pubmed/35415030 http://dx.doi.org/10.7759/cureus.22991 Text en Copyright © 2022, Jacobo-Pinelli et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Otolaryngology Jacobo-Pinelli, Regina Guerrero-Paz, Jose Alberto Lugo-Machado, Juan Antonio Arvizu-Flores, Jose Alberto Guerrero-Paz, Karen Paulina Otogenic Central Skull Base Osteomyelitis With Retropharyngeal Extension: A Case Report |
title | Otogenic Central Skull Base Osteomyelitis With Retropharyngeal Extension: A Case Report |
title_full | Otogenic Central Skull Base Osteomyelitis With Retropharyngeal Extension: A Case Report |
title_fullStr | Otogenic Central Skull Base Osteomyelitis With Retropharyngeal Extension: A Case Report |
title_full_unstemmed | Otogenic Central Skull Base Osteomyelitis With Retropharyngeal Extension: A Case Report |
title_short | Otogenic Central Skull Base Osteomyelitis With Retropharyngeal Extension: A Case Report |
title_sort | otogenic central skull base osteomyelitis with retropharyngeal extension: a case report |
topic | Otolaryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8993994/ https://www.ncbi.nlm.nih.gov/pubmed/35415030 http://dx.doi.org/10.7759/cureus.22991 |
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