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Aspergillosis of the petrous apex
Philip Rushton1, Tim Battcock, Anne Denning
1Elderly Care Department, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK. philrushton@hotmail.com
Abstract:
We present the case of an immunocompetent man who presented with multiple and progressive cranial nerve palsies. The cause was found to be aspergillosis of the petrous bone, arising as a result of chronic fungal otitis media. Despite treatment with local excision and systemic anti-fungal therapy, he died after suffering a subarachnoid haemorrhage. Diagnosis rests upon prompt radiological imaging and the acquisition of tissue for histological examination and culture but cannot be made without awareness of the condition.
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