在一位老年患者身上,一种异常呈现的结性外耳炎异常呈现
Iuliana Apostol-DeJong1, Sana Masood1, Liliana C Binzar2
1Geriatric Medicine, James Cook University Hospital, Middlesbrough, GBR.
Cureus
|October 31, 2025
概括
外耳垂死性耳炎 (NOE) 是一种罕见的,危及生命的感染. 这个案例突出了一个具有挑战性的NOE呈现,其中包括神经麻,骨骨质炎,尽管接受了治疗,但致命的结局.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 外耳垂死性耳炎 (NOE) 是耳道和头骨底部的严重感染.
- 早期诊断和治疗至关重要,但由于微妙的初始症状,往往具有挑战性.
研究的目的:
- 报告一个罕见的NOE病例,呈现出多重单边神经.
- 为了说明NOE的诊断挑战和进展.
主要方法:
- 一个83岁的男性病例报告,有双边外耳炎的病史.
- 诊断成像包括CT头部,以评估骨底骨质炎 (SBO).
- 临床脆弱性评分 (CFS) 用于评估手术候选人.
主要成果:
- 患者出现了微妙的头骨神经的迹象 (VII,VIII,IX,X,XII).
- CT证实了左侧SBO,西格毛状鼻血栓,以及脑内.
- 尽管接受了抗生素治疗,但患者的脆弱性 (CFS 7) 阻止了手术,病情进展.
结论:
- NOE可能会出现微妙的神经缺陷,使诊断复杂化.
- 先进的成像对于检测SBO和内传播等并发症至关重要.
- 患者的脆弱性可能会限制治疗选择,影响严重NOE病例的预后.
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