Clinical Study of Skull Base Osteomyelitis

  • Ueki Yushi
    Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
  • Matsuyama Hiroshi
    Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
  • Morita Yuka
    Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
  • Takahashi Kuniyuki
    Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
  • Yamamoto Yutaka
    Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
  • Takahashi Sugata
    Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University

Bibliographic Information

Other Title
  • 頭蓋底骨髄炎5症例の検討
  • 症例報告 頭蓋底骨髄炎5症例の検討
  • ショウレイ ホウコク ズガイテイ コツズイエン 5 ショウレイ ノ ケントウ

Search this article

Abstract

Typical osteomyelitis is reportedly caused by Pseudomonous aeruginosa in elderly diabetic patients after malignant external otitis. Recently, complications have arisen due to the emergence of atypical osteomyelitis. We have experiensed 5 cases of skull base osteomyelitis at our hospital. All patients were male with a mean age of 75.2 years. Four patients had diabetes. Regarding the clinical and radiographic findings, patients 1, 2, and 3 had typical osteomyelitis after malignant external otitis, whereas patients 4 and 5 had atypical osteomyelitis without temporal bone findings. Sample culturing revealed Pseudomonas aeruginosa in 4 cases and Aspergillus in one. Intravenous antibiotics were administered to all patients. Two patients responded positively and survived, while 3 died. Typical osteomyelitis is reportedly caused by P. aeruginosa in elderly diabetic patients after malignant external otitis. Recently, complications have arisen due to the emergence of atypical osteomyelitis. The prognosis of skull base osteomyelitis is still poor in Japan. Early diagnosis and long-term antibiotic administration is required to improve outcome.

Journal

Citations (5)*help

See more

References(13)*help

See more

Details 詳細情報について

Report a problem

Back to top