Pseudomonas cervical osteomyelitis with retropharyngeal abscess: an unusual complication of otitis media.
J Laryngol Otol
; 119(10): 816-8, 2005 Oct.
Article
en En
| MEDLINE
| ID: mdl-16259661
ABSTRACT
We present the unusual case of a 54-year-old diabetic man with chronic suppurative otitis media, presenting with cervical osteomyelitis and retropharyngeal abscess. This was treated with decompression, debridement and fusion from C2 to C4 with external halo-frame stabilization. Pseudomonas aeruginosa was cultured from the ear and the osteomyelitis specimen. Exploration of the left ear showed evidence of mucosal disease, with granulations in the middle ear and oedematous mucosa in the mastoid antrum, but no evidence of dural-plate dehiscence. Haematogenous spread probably led to cervical osteomyelitis and retropharyngeal abscess formation. Cervical osteomyelitis may develop as a rare complication and present as a cause of severe neck pain in patients with otitis media.
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Banco de datos:
MEDLINE
Asunto principal:
Osteomielitis
/
Otitis Media Supurativa
/
Infecciones por Pseudomonas
/
Vértebras Cervicales
/
Absceso Retrofaríngeo
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Año:
2005
Tipo del documento:
Article