继发于急性乳突炎的罕见自发脑脓肿病例

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
Janipalli Manojna, Satya Sai Srinivas Allada, Vinodkumar Mugada, Wasim Feroz
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引用次数: 0

摘要

由急性乳突炎引发的耳源性脑脓肿是一种罕见但可能致命的疾病。它是一种颅内并发症,可进一步发展为脑膜炎和乙状窦血栓形成。该病例强调了早期发现和治疗干预的重要性,而这往往会给临床带来巨大挑战。本报告阐述了一例 35 岁女性的病例,她因严重耳痛就诊,主要表现为右侧耳痛,同时伴有分泌物和眩晕。随后的神经影像学检查发现,患者右侧小脑半球存在基底脑膜炎,并伴有硬膜外脓肿和乳突气细胞凝聚。患者的治疗方案包括严格的抗生素治疗,并根据症状改善情况不断调整。耳源性脑脓肿的快速诊断和及时治疗至关重要。从我们的病例中可以看出,医学知识有限、医疗护理疏忽和社会经济地位低下等因素导致了颅内并发症的严重性。这些因素凸显了解决医疗保健中系统性因素的必要性,以确保有效预防和管理此类病症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Akut mastoidite ikincil nadir görülen bir otojenik beyin apsesi tablosu
Otogenic brain abscess, precipitated by acute mastoiditis, is a rare but potentially fatal condition. It constitutes an intracranial complication that can further develop due to meningitis and sigmoid sinus thrombosis. This case underscores the critical importance of early detection and therapeutic intervention, which often pose substantial clinical challenges. This report elucidates the case of a 35-year-old female who arrived with severe otalgia, noted predominantly on the right side, coupled with discharge and vertigo. Subsequent neuroimaging unveiled the presence of basal meningitis in the right cerebellar hemisphere, accompanied by an extradural abscess and coalescent mastoid air cells. The patient's treatment protocol entailed a rigorous antibiotic regimen, continually adjusted based on symptomatic improvement. The rapid diagnosis and immediate treatment of otogenic brain abscesses are paramount. As observed in our case, factors such as limited medical knowledge, oversight in medical care, and socio-economic disadvantages contributed to the severity of the intracranial complication. These elements highlight the necessity of addressing systemic factors in healthcare to ensure effective prevention and management of such conditions.
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来源期刊
Cukurova Medical Journal
Cukurova Medical Journal MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
159
审稿时长
12 weeks
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