Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic
Introduction: Petrositis is a rare but severe complication of acute otitis media and mastoiditis. Despite efficient antibiotic therapy, there are still reports of both intratemporal and intracranial complications of otitis media with the potential risk of high morbidity and mortality. Petrositis has...
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doaj-1763cc8052ad494d82113775cbb63b972020-11-24T23:23:09ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2017-05-0129316516910.22038/ijorl.2017.86518651Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous AntibioticTayebeh Kazemi0Otolaryngology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.Introduction: Petrositis is a rare but severe complication of acute otitis media and mastoiditis. Despite efficient antibiotic therapy, there are still reports of both intratemporal and intracranial complications of otitis media with the potential risk of high morbidity and mortality. Petrositis has traditionally been treated with surgery, but recent advances in imaging, with improved antibiotic treatment, allow more conservative management. Case Report: In this case report we describe the clinical course and treatment of a 33-year-old man with petrous apicitis who presented with severe otalgia, retro-orbital pain, and sixth cranial nerve palsy Gradenigo syndrome. Our patient showed a dramatic response to intravenous antibiotics only, without need for any surgical intervention, even myringotomy. Conclusion: It seems that early detection and management of this syndrome before development of other intratemporal or intracranial complications may prevent the need for surgical intervention.http://ijorl.mums.ac.ir/article_8651_39b42fb045d1f9877d5da3b9891b8507.pdfAcute otitis mediaGradenigo syndromeMedical therapeuticsPetrositisSurgical intervention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tayebeh Kazemi |
spellingShingle |
Tayebeh Kazemi Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic Iranian Journal of Otorhinolaryngology Acute otitis media Gradenigo syndrome Medical therapeutics Petrositis Surgical intervention |
author_facet |
Tayebeh Kazemi |
author_sort |
Tayebeh Kazemi |
title |
Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic |
title_short |
Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic |
title_full |
Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic |
title_fullStr |
Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic |
title_full_unstemmed |
Acute Otitis Media-Induced Gradenigo Syndrome, a Dramatic Response to Intravenous Antibiotic |
title_sort |
acute otitis media-induced gradenigo syndrome, a dramatic response to intravenous antibiotic |
publisher |
Mashhad University of Medical Sciences |
series |
Iranian Journal of Otorhinolaryngology |
issn |
2251-7251 2251-726X |
publishDate |
2017-05-01 |
description |
Introduction: Petrositis is a rare but severe complication of acute otitis media and mastoiditis. Despite efficient antibiotic therapy, there are still reports of both intratemporal and intracranial complications of otitis media with the potential risk of high morbidity and mortality. Petrositis has traditionally been treated with surgery, but recent advances in imaging, with improved antibiotic treatment, allow more conservative management. Case Report: In this case report we describe the clinical course and treatment of a 33-year-old man with petrous apicitis who presented with severe otalgia, retro-orbital pain, and sixth cranial nerve palsy Gradenigo syndrome. Our patient showed a dramatic response to intravenous antibiotics only, without need for any surgical intervention, even myringotomy. Conclusion: It seems that early detection and management of this syndrome before development of other intratemporal or intracranial complications may prevent the need for surgical intervention. |
topic |
Acute otitis media Gradenigo syndrome Medical therapeutics Petrositis Surgical intervention |
url |
http://ijorl.mums.ac.ir/article_8651_39b42fb045d1f9877d5da3b9891b8507.pdf |
work_keys_str_mv |
AT tayebehkazemi acuteotitismediainducedgradenigosyndromeadramaticresponsetointravenousantibiotic |
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1725564996195188736 |