1/11. Otogenic lateral sinus thrombosis--a case report.INTRODUCTION: We portray and discuss a case of lateral sinus thrombosis following acute otitis media and mastoiditis. CLINICAL PICTURE: The patient presented with otorrhoea, otalgia, neck pain, fever and chills. TREATMENT: Cortical mastoidectomy was performed. Intravenous antibiotics and heparin were administered. OUTCOME: The patient had a complete recovery with no sequelae. CONCLUSIONS: Neurotologic complications of suppurative otitis media like meningitis, cerebral abscess, extradural abscess and dural sinus thrombosis are rare in the antibiotic era. Hence, doctors today have to maintain extra vigilance and a high index of suspicion for such complications.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
2/11. fusobacterium necrophorum: a rare cause of meningitis in children.We report a case of non-fatal meningitis secondary to suppurative otitis media in a previously healthy young boy. fusobacterium necrophorum was isolated from blood; spinal fluid was cultured aerobically only but yielded no growth. After treatment with intravenous antibiotics and surgery the patient recovered, with a mild sequela of hypoglossus paresis.- - - - - - - - - - ranking = 5keywords = meningitis (Clic here for more details about this article) |
3/11. Group-A streptococcal meningitis in an adult, secondary to purulent otitis media.Group A streptococcal meningitis is rarely encountered today, although group A streptococcal severe infections are on the increase. We present here a case of an adult male with bacterial meningitis as a complication of otitis media induced by Group A streptococcus. The approach to diagnosis and treatment considerations are discussed.- - - - - - - - - - ranking = 6keywords = meningitis (Clic here for more details about this article) |
4/11. Group A streptococcal meningitis.meningitis due to group A streptococci occurs uncommonly. We report two cases, one in a patient with otitis media and the other in a patient with bullous pemphigoid. Nineteen cases in the English-language literature from the past decade plus our two cases are reviewed. In 17 patients, an associated illness was present, most often otitis media or pharyngitis. When performed, gram staining of the cerebrospinal fluid and cultures of blood usually yielded organisms. cerebrospinal fluid was acellular in two patients. Of 21 patients, 20 survived. Antibiotic therapy, which consisted of penicillin for most patients, was effective. ceftriaxone may be an alternative agent. Neurologic sequelae occurred more often in children than in adults.- - - - - - - - - - ranking = 4keywords = meningitis (Clic here for more details about this article) |
5/11. Intracranial complications of chronic suppurative otitis media in children.In spite of significant decrease after antibiotic advent, intracranial complications of otitis media still represent a challenging situation owing to its high mortality rate (36%). The most common presentations are meningitis, cerebral abscess, extradural abscess and lateral sinus thrombophlebitis. For early management, it is necessary to have a high index of suspicion. It is important to identify non-typical cases because they might be masqueraded by antibiotic use. AIM: We present six cases of intracranial complications due to otitis media in children and adolescents at Complexo Hospitalar Santa Casa de Porto Alegre for the past two years. STUDY DESIGN: Series review.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
6/11. Otogenic fusobacterium necrophorum meningitis.A case of meningitis secondary to acute suppurative otitis media in a previously healthy child is reported. The only organism isolated from blood after aerobic and prolonged anaerobic culture was identified as fusobacterium necrophorum. Complete recovery followed treatment with surgery and prolonged antibiotic therapy. The role of anaerobes in the development of meningitis, the isolation and identification of fusobacterium necrophorum, the clinical presentations of F. necrophorum infection and the choice of antibiotics in the treatment of these infections are discussed.- - - - - - - - - - ranking = 6keywords = meningitis (Clic here for more details about this article) |
7/11. subarachnoid space: middle ear pathways and recurrent meningitis.Congenital bony abnormalities of the inner ear may result in a communication between the middle ear and the subarachnoid space. patients with this anomaly often present with recurrent meningitis associated with acute otitis media or with middle ear fluid. This article presents three cases of recurrent meningitis with open middle ear--subarachnoid space connections. The first two cases involve a cerebrospinal fluid leak into the middle ear via the oval window, both patients having a Mondini-type of inner ear deformity. The pathway in the third case opened into the middle ear along the horizontal portion of the facial nerve. Computed tomography (CT) scanning with metrizamide and differential density calculations helped to identify the abnormal pathway and to confirm that the leak has been closed postoperatively. Use of the CT scanner in these cases can be helpful in planning the surgical closure and in postoperative follow-up.- - - - - - - - - - ranking = 6keywords = meningitis (Clic here for more details about this article) |
8/11. Anaerobic mastoiditis: a report of two cases with complications.Aerobic bacteria are responsible for most cases of suppurative otitis media/mastoiditis (OM/M). As many as 20-30% of middle ear aspirates in acute otitis media, however, are reported to be sterile on aerobic culture. Some of these cases may be due to anaerobic bacteria. Two cases of OM/M due to anaerobic bacteria are reported. The first patient had no antecedent ear disease and developed a large Bezold abscess caused by Fusobacterium varium. The second patient had attic retraction pouches bilaterally and a history of otorrhea. This patient developed labyrinthitis and meningitis due to B. fragilis. The clinical progression of disease in both cases indicates that anaerobic OM/M can follow a deceptively asymptomatic course. By contrast, complications of OM/M occur abruptly and extend rapidly in a manner typical of acute aerobic disease. Both cases required surgery for cure.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
9/11. candida tropicalis meningitis: a case report.A 54-year-old man presented with candida tropicalis meningitis after exploration of the mastoid. He responded well to the combined intravenous administration of amphotericin b and 5 fluorocytosine. But 5 fluorocytosine had to be withdrawn when the candida proved to be resistant to this antifungal agent. However, the patient made an uneventful recovery. This seems to be the first report of a candida tropicalis meningitis in an otherwise healthy adult patient in this country.- - - - - - - - - - ranking = 6keywords = meningitis (Clic here for more details about this article) |
10/11. meningitis caused by candida tropicalis.Meningeal infection with Candida remains rare. We report its occurrence in a healthy man following mastoid exploration for chronic suppurative middle ear disease. The infective agent proved to be C tropicalis, which has only been isolated from CSF in two previous cases of Candida meningitis.- - - - - - - - - - ranking = 1keywords = meningitis (Clic here for more details about this article) |
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