書誌事項
- タイトル別名
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- A Case of Epidural Abscess and Bacterial Meningitis Complicating Acute Sinusitis
- コウマク ガイ ノウヨウ ト サイキンセイ ズイマクエン オ キタシタ キュウセイ フクビクウエンレイ
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<p>We report a case of acute sinusitis with intracranial complications in a 15-year-old man who presented with fever, headache and swelling of the left eyelid. Computed tomography (CT) revealed opacities in the left maxillary, ethmoid, and frontal sinuses, and low-density convex opacities in the left frontal epidural region. Magnetic resonance imaging (MRI) revealed an iso-signal intensity on T1-weighted images and an iso- to high signal intensity on T2-weighted images in the left frontal epidural region. Enhanced MRI revealed enhancement of the dura, and we made the diagnosis of epidural abscess. Cerebrospinal fluid examination was performed, and the findings led to the diagnosis of bacterial meningitis. Staining of the cerebrospinal fluid revealed gram-positive cocci. We performed emergent trans-nasal endoscopic sinus surgery and started the patient on antibiotic therapy. The antibiotic therapy was continued for a total of about 3 weeks, and the patient improved without sequelae. Early diagnosis and treatment are very important, because intracranial complications of acute sinusitis may result in neurologic sequelae and could even be fatal.</p>
収録刊行物
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- 耳鼻咽喉科臨床
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耳鼻咽喉科臨床 114 (6), 421-427, 2021
耳鼻咽喉科臨床学会
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詳細情報 詳細情報について
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- CRID
- 1390569690549869312
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- NII論文ID
- 130008046502
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- NII書誌ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL書誌ID
- 031538841
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可