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Otogenic brain abscess--a case report.

P T Chen1, K Y Ho, C F Tai

  • 1Department of Otorhinolaryngology, Kaohsiung Medical University Hospital, Taiwan.

The Kaohsiung Journal of Medical Sciences
|June 10, 2000
PubMed
Summary
This summary is machine-generated.

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Otogenic brain abscess, a complication of otitis media, is increasingly linked to chronic otitis media with cholesteatoma. Surgical intervention and antibiotic therapy improved a patient

Area of Science:

  • Neurology
  • Otolaryngology
  • Infectious Diseases

Background:

  • Brain abscess is a severe complication of otitis media.
  • Antibiotic therapy has reduced mortality and morbidity.
  • Recent cases of otogenic brain abscess are predominantly associated with chronic otitis media and cholesteatoma.

Observation:

  • A 49-year-old female presented with headache, later diagnosed as a brain abscess.
  • High-resolution computed tomography (HRCT) revealed two abscesses in the right temporal lobe.
  • The patient had a history of chronic otitis media with cholesteatoma.

Findings:

  • A modified radical mastoidectomy was performed.
  • Cultures identified Pseudomonas aeruginosa and Strenotrophomonas maltophilia in the middle ear cholesteatoma.

Related Experiment Videos

  • Postoperative antibiotic therapy for three months led to patient improvement.

    • Implications:

    • This case highlights the persistent risk of brain abscess in chronic otitis media with cholesteatoma.
    • Prompt diagnosis and combined surgical and antibiotic treatment are crucial for favorable outcomes.
    • Conductive hearing loss may remain a sequela despite successful abscess treatment.