[A man in his fifties with pain in the head, neck and ear canal] / En mann i 50-årene med smerter i hode, nakke og øregang.
Tidsskr Nor Laegeforen
; 142(13)2022 09 27.
Article
em Nor
| MEDLINE
| ID: mdl-36164783
ABSTRACT
BACKGROUND:
A man in his fifties, originally from a Middle Eastern country, presented with left-sided otalgia and neck pain which worsened over several months. He had pre-existing hypertension, diabetes mellitus type 2 and end stage renal disease requiring dialysis. CASE PRESENTATION His presenting complaints started whilst on a long stay in his country of origin. Symptoms progressively worsened over the coming months while he underwent extensive medical examinations and investigations. This revealed opacifications in the mastoid cavities, raised inflammatory markers, and finally a CT scan revealed osteolytic lesions in his cervical spine. The lesions continued to progress, and his clinical condition deteriorated to the point that he required surgery. Culture was obtained through perioperative biopsies and showed growth of Aspergillus flavus.INTERPRETATION:
The patient had initially received topical treatment for an assumed infectious external otitis. Later culture from his outer ear also showed growth of A. flavus, the same pathogen that was found in a biopsy from his cervical spine. He was diagnosed with cervical mycotic osteomyelitis, probably secondary to a chronic external otitis. Long term antimycotic therapy and three neurosurgical operations were required to treat the patient.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteomielite
/
Otite Externa
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
Idioma:
Nor
Revista:
Tidsskr Nor Laegeforen
Ano de publicação:
2022
Tipo de documento:
Article