title: [Apical petrositis, osteomyelitis of the base of the skull bones and of the first cervical vertebra in a 5 year-old children following chicken pox].
abstract: This publication was designed to describe a rare case of development of apicalpetrositis in a child presenting with acute otitis mediafollowing chicken pox experienced in the preceding period. We carried out the study with the use of computed tomography (CT) that demonstrated destruction of the temporal bone, bones of the base of the skull and of the first cervical vertebra. The treatment strategy chosen for the management of this condition that included antibiotic therapy and expectant observation proved justified and can be recommended as an algorithm of choice taking into consideration the difficulty of surgical approach to the apex of the petrous pyramid. However, this approach is associated with the high risk of disability arising from the potential injury to the craniocerebral nerves.
authors.affiliation: Pirogov Russian National Research Medical University, Moscow, Russia, 117997.
authors.forename: M R
authors.initials: MR
authors.lastname: Bogomil'sky
authors.affiliation: Pirogov Russian National Research Medical University, Moscow, Russia, 117997.
authors.forename: M M
authors.initials: MM
authors.lastname: Polunin
authors.affiliation: Morozovskaya City Children's, Clinical Hospital, Moscow Health Department, Moscow, Russia, 119049.
authors.forename: E I
authors.initials: EI
authors.lastname: Zelikovich
authors.affiliation: Pirogov Russian National Research Medical University, Moscow, Russia, 117997; Research Centre of Children's Health, Russian Academy of Medical Sciences, Moscow, Russia, 119991.
authors.forename: Yu L
authors.initials: YL
authors.lastname: Soldatsky
authors.affiliation: Pirogov Russian National Research Medical University, Moscow, Russia, 117997.
authors.forename: O V
authors.initials: OV
authors.lastname: Burova
mesh_terms: D000208:Acute Disease; D001270:Cervical Atlas / Q000000981:diagnostic imaging*; D002644:Chickenpox / Q000150:complications*; D002675:Child, Preschool; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000209:etiology*; D010033:Otitis Media / Q000209:etiology*; D059270:Petrositis / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D019291:Skull Base / Q000000981:diagnostic imaging*