Clinical Study of Skull Base Osteomyelitis
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- Ueki Yushi
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
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- Matsuyama Hiroshi
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
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- Morita Yuka
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
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- Takahashi Kuniyuki
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
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- Yamamoto Yutaka
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
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- Takahashi Sugata
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Niigata University
Bibliographic Information
- Other Title
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- 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
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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
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- Nippon Jibiinkoka Gakkai Kaiho
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Nippon Jibiinkoka Gakkai Kaiho 118 (1), 40-45, 2015
The Oto-Rhino-Laryngological Society of Japan, Inc.
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Details 詳細情報について
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- CRID
- 1390001205012324864
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- NII Article ID
- 130004914044
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- NII Book ID
- AN00191551
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- ISSN
- 18830854
- 00306622
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- NDL BIB ID
- 026049478
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed