[Cerebral abscess as a complication of chronic otitis media].
A case is reported of chronic otitis media and cholesteatoma in an adult patient with behavioral disorders who developed a pyogenic brain abscess. Initially, clinical management focused on the otogenic disease in view of the patient's symptoms and medical history. Finally, less easily recognized discriminating signs and symptoms, and the results of imaging studies were emphasized. These data confirmed the clinical diagnosis of pyogenic brain abscess secondary to cholesteatoma. The case illustrates how one of the most severe infective complications related with cholesteatoma may appear and its a remainder to clinicians to take this possibility into consideration.
García-Lechuz
J M
JM
Servicio de Microbiología Clínica, Hospital General Universitario Gregorio Marañón, Madrid.
Blanco-Costa
M
M
Sánchez-Alarcos
S
S
Bouza
E
E
D000328:Adult; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000382:microbiology*; D018424:Cholesteatoma, Middle Ear / Q000150:complications* / Q000000981:diagnostic imaging; D002908:Chronic Disease; D006801:Humans; D008297:Male; D010033:Otitis Media / Q000150:complications* / Q000000981:diagnostic imaging; D013290:Streptococcal Infections / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed
Absceso cerebral como complicación de una otitis media crónica.