title: Skull base osteomyelitis in the emergency department: a case report.
abstract: Skull base osteomyelitis (SBO) is a rare clinical presentation and usually occurs as a complication of trauma or sinusitis. A 5-year-old child presented to the emergency department with a three-week history of fever associated with drowsiness and left parietal headache, and a week's history of swelling on the left frontoparietal soft tissue. He had suffered a penetrating scalp injury four month ago. On physical examination, there was a tender swelling with purulent stream on the lateral half of his scalp. His vital signs are within normal limits. Plain X-ray of the skull showed a lytic lesion on the left frontoparietal bone. A cranial computed tomography (CT) scan demonstrated a large subgaleal abscess at the left frontoparietal region. SBO possesses a high morbidity and mortality; therefore, prompt diagnosis and appropriate treatment are mandatory to prevent further complications and to reduce morbidity and mortality significantly.
authors: Department of Emergency Medicine, Faculty of Medicine, Trakya University, Edirne 22030, Turkey.
authors: Mustafa Burak
authors: MB
authors: Sayhan
authors: Cemil
authors: C
authors: Kavalci
authors: Ozgur
authors: O
authors: Sogüt
authors: Eylem
authors: E
authors: Sezenler