Symptomatic stroke complicating central skull base osteomyelitis following otitis media in a 2-year old boy: Case report and review of the literature.
We describe the youngest case to date of a 2 year old child who developed central skull base osteomyelitis (SBO) initially presenting with a fever, vomiting and sore throat. An extremely rare complication of mastoiditis following otitis media in children is SBO which can present with non-specific symptoms. This report describes the first case of symptomatic ischaemic stroke secondary to SBO in an immunocompetent child. We review the literature of the management and the potential cerebrovascular complications of central SBO in children secondary to otolaryngological infection.
Medical Sciences Department, University of Oxford, Oxford, United Kingdom. Electronic address: eliz.kilich@gstt.nhs.uk.
Eliz
E
Kilich
Department of Neuroradiology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Reena
R
Dwivedi
Department of Pediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Shelley
S
Segal
Department of Pediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Sandeep
S
Jayawant
Department of Pediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom; Oxford Vaccine Group, Department of Pediatrics, University of Oxford, Oxford, United Kingdom; Vaccine Evaluation Center, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada. Electronic address: msadarangani@cfri.ca.
Manish
M
Sadarangani
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010019:Osteomyelitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D019291:Skull Base / Q000473:pathology*; D020521:Stroke / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000900:Anti-Bacterial Agents; D010975:Platelet Aggregation Inhibitors
Antiplatelet; Child; Cranial; Mastoiditis; Osteomyelitis