Paralisiado nervo abducente como complicação de otite média aguda

Neves, Beatrice M. J.; Weckx, Luc Louis Maurice

doi:10.1590/s0034-72992002000200020

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Nevertheless, complications remain quite frequent, have high morbidity and mortality rates, and pose a challenge to the otorhinolaryngologist. 3 4 5 6 7 8 9 At a 1998 World Health Organization meeting devoted to health policies for chronic middle ear infections, COM was signaled as an important and permanent public health problem; however, there is a lack of population-based data on this subject. Several countries still need to compile epidemiologic data to establish the impact of COM and the priorities for its prevention and treatment.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Intratemporal Complications of Otitis Media

Maranhão

Andrade

Godofredo

et al. 2014

Int. Arch. Otorhinolaryngol.

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Introduction Despite the advent of antibiotics and immunizations in the last century, complications of otitis media remain quite frequent, have high morbidity and mortality rates, and pose a challenge to the otorhinolaryngologist. Objective To establish the annual incidence of intratemporal complications of otitis media and prospectively evaluate patients via an analysis of epidemiologic and clinical aspects. Methods Prospective, observational study. Between February 2010 and January 2011, patients admitted to a tertiary care, university-based otology practice with diagnosis of otitis media and an associated intratemporal complication (ITC) were included in the study. The following data were evaluated: age, sex, type of ITC, treatment, imaging tests findings, type and degree of hearing loss, and clinical outcome. The overall incidence of all complications and of each complication individually was determined. Results A total of 1,816 patients were diagnosed with otitis media. For 592 (33%) individuals, the diagnosis was chronic otitis media; for 1,224 (67%), the diagnosis was acute otitis media. ITCs of otitis media were diagnosed in 15 patients; thus, the annual incidence of intratemporal complications was 0.8%. We identified 19 ITC diagnoses in 15 patients (3 patients had more than one diagnosis). Labyrinthine fistulae were diagnosed in 7 (36.8%) individuals, mastoiditis in 5 (26.3%), facial palsy in 4 (21.1%), and labyrinthitis in 3 (15.8%). Conclusion The incidence of intratemporal complications in Brazil remains significant when compared with developed countries. Chronic otitis media with cholesteatoma is the most frequent etiology of intratemporal complications. Labyrinthine fistula is the most common intratemporal complication.

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Section: Introductionmentioning

confidence: 99%

Epidemiology of Intratemporal Complications of Otitis Media

Maranhão

Andrade

Godofredo

et al. 2014

Int. Arch. Otorhinolaryngol.

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“…As infecções otológicas comumente se relacionam às complicações intracranianas (CIC) e a otite média aguda (OMA) se insere nesse contexto como doença potencialmente grave, embora o advento da antibioticoterapia tenha contribuído muito para a redução da morbimortalidade contemporânea 10 . Embora a antibioticoterapia tenha reduzido a incidência de CIC das otites de 2,3% para 0,04%, a taxa de mortalidade ainda se mantém ao redor de 36% 11 .…”

Section: Introductionunclassified

Meningite otogênica por Streptococcus pyogenes sorotipo M3

Person

Tanaka

Iwamoto

2008

Arq. Bras. Ciên. Saúde

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ResumoAtualmente, a meningite bacteriana constitui sério problema de saúde pública mundial. Sua incidência, aliada ao seu potencial de letalidade e seqüelas, torna a doença de extrema importância social, despertando o interesse dos profissionais de saúde quanto ao seu diagnóstico e tratamento precoces.Meningites causadas por Streptococcus pyogenes têm sido consideradas raras na literatura, sendo os sorotipos M1, M3 e M18 associados a maior virulência e elevado potencial de letalidade. O presente estudo tem como objetivo descrever um caso de paciente masculino de 14 anos de idade, com otite média aguda, que evoluiu com meningite por Streptococcus pyogenes, septicemia e óbito. As cepas de S. pyogenes isoladas de cultura de líquor e hemocultura foram submetidas à tipagem molecular pelos métodos Pulse-field gel electrophoresis (PFGE) e emm, identificando-se o sorotipo M3. Pôde-se concluir que, tratava-se de cepa potencialmente agressiva, freqüentemente associada a quadros fatais, com evolução a partir de otite média aguda supurada, doença bastante freqüente na comunidade. Os profissionais de saúde devem atentar para o aumento de infecções letais provocadas por esta bactéria, sendo altamente desejável o diagnóstico e tratamento precoces.Palavras-Chave: Meningite otogênica; otite média aguda; Streptococcus pyogenes; sepse. AbstractBacterial meningitis is a serious current public health problem worldwide. Its incidence and potential capacity to cause lethality and sequels turn the disease into a very important social problem, taking interest of health professionals to early diagnosis and treatment. Meningitis caused by Streptococcus pyogenes has been considered rare in the literature, and the serotypes M1, M3 and M18 are associated to high virulence, frequently causing death. The present study aims to report a case of a 14 year-old male patient with acute otitis media, followed with meningitis by Streptococcus pyogenes, sepsis and death. The strains of S. pyogenes isolated from cerebrospinal fluid culture and hemoculture were submitted to molecular typing using Pulse-field gel electrophoresis (PFGE) and emm methods, identifying serotype M3. We concluded that this strain is potentially aggressive, frequently associated with lethal infections, beginning with suppurate acute otitis media, a common infection in community. The health professionals should pay attention at the increase of lethal infections caused by this pathogen, being important the early diagnosis and treatment.

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