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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Main Author: Tayebeh Kazemi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2017-05-01
Series:Iranian Journal of Otorhinolaryngology
Subjects:
Online Access:http://ijorl.mums.ac.ir/article_8651_39b42fb045d1f9877d5da3b9891b8507.pdf
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spelling 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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