Navigating the complexity of skull base osteomyelitis: a case study and comprehensive review.

Autor:	Horache, Kenza, Jidal, Manal, Kettani, Najwa El, Fikri, Meriem, Jiddane, Mohamed, Touarsa, Firdaous
Předmět:	SKULL base OSTEOMYELITIS SEPTIC shock OLDER patients NASOPHARYNX cancer
Zdroj:	Journal of Surgical Case Reports; May2024, Vol. 2024 Issue 5, p1-4, 4p
Abstrakt:	Skull base osteomyelitis is a rare and life-threatening infection of the skull base, commonly seen in elderly diabetic patients as a result of otogenic or paranasal infection. The diagnosis is based on a series of arguments, including a high clinical suspicion, imaging findings, negative biopsies for malignancy, and microbiological isolation. Complications, including abscess formation and vascular involvement, mandate a multidisciplinary treatment approach, primarily involving broad-spectrum antibiotics and surgical debridement, but the prognosis is usually poor. Herein, we describe the case of a 55-year-old male, who 15 years prior, underwent radiation therapy for nasopharyngeal carcinoma. He presented with an infection of the skull base with extensive bone erosion accompanied by an uncommon complication; an intra clival abscess. Despite aggressive antibiotic therapy, the patient ultimately succumbed to septic shock. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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