Otogenic cerebellar abscess: a case report.
This case report describes the gradual deterioration of a healthy, highly functioning man who initially presented with a draining right ear. The patient's indolent neurologic decline and referral to an otologist ultimately led to the diagnosis and treatment of an otogenic cerebellar abscess, an increasingly rare intracranial complication of otitis media. We report this case to illustrate that severe complications of chronic otitis media still occur in the United States, to stress the importance of clinical suspicion in the postantibiotic era, and to review the literature regarding the most appropriate time to perform the otologic portion of the surgery.
Richter
Gresham T
GT
Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Smith
Jason A
JA
Dornhoffer
John L
JL
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016866:Bacteroidaceae Infections / Q000150:complications* / Q000188:drug therapy; D001439:Bacteroides / Q000302:isolation & purification*; D001922:Brain Abscess / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D002526:Cerebellar Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D004636:Emergency Service, Hospital; D006097:Granulation Tissue / Q000473:pathology; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008416:Mastoid / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D010035:Otitis Media, Suppurative / Q000150:complications* / Q000601:surgery; D011512:Proteus Infections / Q000150:complications* / Q000188:drug therapy; D011513:Proteus mirabilis / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D014432:Tympanic Membrane / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D055815:Young Adult
D000900:Anti-Bacterial Agents