title: Acute suppurative otitis media: an unusual cause of orbital apex syndrome.
abstract: We report the case of a 40-year-old female who presented to us with earache and a rapidly progressive painful ophthalmoplegia involving the right eye with right temporal swelling. A clinical and radiological assessment revealed it to be temporal cellulitis with orbital apex syndrome secondary to acute otitis media. In spite of prompt initiation of treatment, the patient died within 30 hr of presentation. The case is discussed in detail with a brief review of medical literature.
authors.affiliation: Department of ENT, Maulana Azad Medical College and Associated L. N. Hospital, New Delhi, India.
authors.forename: Ashwani
authors.initials: A
authors.lastname: Sethi
authors.forename: Deepika
authors.initials: D
authors.lastname: Sareen
authors.forename: Sumit
authors.initials: S
authors.lastname: Mrig
authors.forename: A K
authors.initials: AK
authors.lastname: Agarwal
authors.forename: Pushpinder S
authors.initials: PS
authors.lastname: Khera
mesh_terms: D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001763:Blepharoptosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D001766:Blindness / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D004359:Drug Therapy, Combination; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D054517:Orbital Cellulitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D010035:Otitis Media, Suppurative / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010211:Papilledema / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D013577:Syndrome
chemical_list: D000900:Anti-Bacterial Agents