[A man in his fifties with pain in the head, neck and ear canal]
| Autor: | Stangeland KW; Stavanger universitetssjukehus., Baardsen R; Nevrokirurgisk avdeling, Stavanger universitetssjukehus., Weber C; Nevrokirurgisk avdeling, Stavanger universitetssjukehus, og, Det helsevitenskapelige fakultet, Universitetet i Stavanger., Gjøse BF; Infeksjonsmedisinsk seksjon, Stavanger universitetssjukehus., Biserød LE; Øre-nese-hals-avdelingen, Stavanger universitetssjukehus., Koch HW; Stavanger universitetssjukehus, og, Det helsevitenskapelige fakultet, Universitetet i Stavanger., Gøransson LG; Nyreseksjonen, Stavanger universitetssjukehus, og, Klinisk institutt 1, Universitetet i Bergen. |
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| Jazyk: | norština |
| Zdroj: | Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke [Tidsskr Nor Laegeforen] 2022 Sep 26; Vol. 142 (13). Date of Electronic Publication: 2022 Sep 26 (Print Publication: 2022). |
| DOI: | 10.4045/tidsskr.22.0144 |
| Abstrakt: | Background: A man in his fifties, originally from a Middle Eastern country, presented with left-sided otalgia and neck pain which worsened over several months. He had pre-existing hypertension, diabetes mellitus type 2 and end stage renal disease requiring dialysis. Case Presentation: His presenting complaints started whilst on a long stay in his country of origin. Symptoms progressively worsened over the coming months while he underwent extensive medical examinations and investigations. This revealed opacifications in the mastoid cavities, raised inflammatory markers, and finally a CT scan revealed osteolytic lesions in his cervical spine. The lesions continued to progress, and his clinical condition deteriorated to the point that he required surgery. Culture was obtained through perioperative biopsies and showed growth of Aspergillus flavus. Interpretation: The patient had initially received topical treatment for an assumed infectious external otitis. Later culture from his outer ear also showed growth of A. flavus, the same pathogen that was found in a biopsy from his cervical spine. He was diagnosed with cervical mycotic osteomyelitis, probably secondary to a chronic external otitis. Long term antimycotic therapy and three neurosurgical operations were required to treat the patient. |
| Databáze: | MEDLINE |
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