1/4. Complicated otitis media caused by fusobacterium necrophorum.fusobacterium necrophorum is implicated as an aetiological agent in a variety of necrotic diseases, such as Lemierre's syndrome (LS) in humans. LS was initially described as septic thrombophlebitis of the internal jugular vein secondary to an acute oropharyngeal infection. Other primary sources of infection include parotitis, otitis media, sinusitis, odontogenic infection and mastoiditis. In the pre-antibiotic era LS carried a high mortality. This has been reduced as a result of the widespread use of antibiotics, but there is still a definite morbidity and mortality associated with infection with this virulent organism. We report three cases of complicated otitis media caused by fusobacterium necrophorum. The patients were treated successively with intravenous metronidazole and surgery.- - - - - - - - - - ranking = 1keywords = thrombophlebitis (Clic here for more details about this article) |
2/4. Bacterial aneurysm of the intracavernous carotid artery secondary to suppurative otitis media. A case report.A case of an intracavernous carotid aneurysm, with ophthalmoplegia, secondary to cavernous sinus thrombophlebitis is reported. The necessity of angiography when this condition persists despite adequate antibiotic therapy is stressed.- - - - - - - - - - ranking = 1keywords = thrombophlebitis (Clic here for more details about this article) |
3/4. Polymicrobial anaerobic septicemia due to lateral sinus thrombophlebitis.Continuous polymicrobial anaerobic septicemia was the main manifestation of a lateral sinus thrombophlebitis (LST) in a patient who had a history of chronic otitis media. Five different anaerobic microorganisms were isolated in blood cultures. Three of them were also present in ear cultures. The diagnosis was confirmed at surgery and the patient was successfully treated with moxalactam disodium therapy. This case emphasizes that LST should be considered before polymicrobial anaerobic septicemia, especially if there is a history of chronic otitis media.- - - - - - - - - - ranking = 5keywords = thrombophlebitis (Clic here for more details about this article) |
4/4. lateral sinus thrombosis.The incidence of lateral sinus thrombophlebitis has been significantly reduced since the advent of antibiotics. This entity is rarely encountered in clinical practice, so a high index of suspicion is essential for early diagnosis and appropriate management. Although uncomplicated dural venous thrombosis carries an excellent prognosis with proper treatment, delay in diagnosis and institution of appropriate therapy may lead to serious, or even fatal, consequences. It is hoped that this case report and discussion will serve to increase the awareness of lateral sinus thrombophlebitis as a potential complication of suppurative otitis media.- - - - - - - - - - ranking = 2keywords = thrombophlebitis (Clic here for more details about this article) |