Brain abscess secondary to frontal osteomyelitis

Tuon, Felipe Francisco; Russo, Rachel; Nicodemo, Antônio Carlos

doi:10.1590/s0036-46652006000400012

Cited by 16 publications

(20 citation statements)

References 12 publications

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“…The microorganisms in the chronic osteomyelitis are similar to the acute, but more resistant, although the culture should direct the antibiotic chosen (6). The microorganisms more frequent in the acute osteomyelitis are Sthaphylococcus aureus, Streptococcus spp., anaerobic organisms, and in exceptional cases fungus (3,6,7,10,11). When presenting intracranial complications the anaerobic are the predominant pathogens (7).…”

Section: Discussionmentioning

confidence: 99%

“…The simple radiography does not show changes in less than 07 to 10 days, and on the more 50% change in bone mineralization is required (4). The means of choosing the bones change detection is the computerized tomography (3,6,8), it is done to evaluate the bone erosion extension and presence of intracranial infection (4). It is also particularly useful to identify pockets of gas or intramedullary increased density, that were found early, as well as small areas of cortical destruction and bone sequestration (15,16).…”

Section: Discussionmentioning

confidence: 99%

“…Hear and neck osteomyelitis require great care as it can present complications, leading to important morbity and mortality, like meningitis, epidural empyema, subdural empyema, brain abscess and cavernous sinus thrombosis (2,3). These complications can be presented in the course of a character of a silent disease, with the relatively asymptomatic patient attending, despite of epidural abscess and frontal lobe (4).…”

Section: Introductionmentioning

confidence: 99%

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Clinical and tomography evolution of frontal osteomyelitis: Case report

Verde¹,

Souza²,

Lessa³

et al. 2014

AIO

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Summary Introduction:?The frontal osteomyelitis is a complication of rhinosinusitis which can evolve to acute or chronicle. There is inflammatory reaction by the increasing of intraosseous pressure, ischemia and local necrosis, leading to bone abscess formation. There is no drainage, it will occur detachment of the periosteum, soft tissue invasion and worsening of ischemia with subsequent bone sequestration. Method:?Case report of an inpatient in an emergency service of another institution by the complication of rhinosinusitis who was referred to the Otorhinolaryngology Service of University Hospital Professor Edgard Santos of Federal University of Bahia. Case Report:?Male patient, 16 years-old, presented himself to the ER of another institution with cephalea, vomits and fever which evolved to periorbital edema and frontal to the left, moving to palpebral fluctuation and frontal. Subjected to frontal and palpebral abscess drainage, with broad-spectrum antibiotic therapy with no improvement. He was referred to our service keeping edema and fluctuation in region frontal and light edema in left periorbital region. The nasal endoscopy showed edema in meatus to the left and the computerized tomography showed fronto-ethmoid sinusitis to the left and signs of frontal osteomyelitis with bone sequestration and epidural empyema. Subjected to sinasal endoscopy surgery, external Access or removal of the frontal one affected and epidural empyema drainage. Evolved to the remission of the disease. Final Considerations:?Failure in the diagnosis and rhinosinusitis complication treatment can lead to sequalae and fatal complications. The diagnosis of the frontal osteomyelitis is confirmed by the clinical suspicion and confirmed by radiological examination. The surgery is indicated when the evolution is insidious, there is bone sequestration and intracranial complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical and tomography evolution of frontal osteomyelitis: Case report

Verde¹,

Souza²,

Lessa³

et al. 2014

AIO

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“…Acute osteomyelitis may present as a routine infection with several signs including fever, malaise, pain, and facial cellulites [7]. The main clinical findings include headache, sometimes associated with edema and spontaneous drainage if a sinocutaneous fistula has formed [8].…”

Section: Discussionmentioning

confidence: 99%

Skull Base Osteomyelitis in the Emergency Department: A Case Report

Sayhan

Kavalcı

Söğüt

et al. 2011

Emergency Medicine International

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Skull base osteomyelitis (SBO) is a rare clinical presentation and usually occurs as a complication of trauma or sinusitis. A 5-year-old child presented to the emergency department with a three-week history of fever associated with drowsiness and left parietal headache, and a week's history of swelling on the left frontoparietal soft tissue. He had suffered a penetrating scalp injury four month ago. On physical examination, there was a tender swelling with purulent stream on the lateral half of his scalp. His vital signs are within normal limits. Plain X-ray of the skull showed a lytic lesion on the left frontoparietal bone. A cranial computed tomography (CT) scan demonstrated a large subgaleal abscess at the left frontoparietal region. SBO possesses a high morbidity and mortality; therefore, prompt diagnosis and appropriate treatment are mandatory to prevent further complications and to reduce morbidity and mortality significantly.

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“…It may sometimes occur after trauma or neurosurgical procedures or may occur as a complication of conditions which predisposes the host to infection, such a systemic sepsis or multiple pyaemic/pyogenic abscesses. 1 Bacterial invasion in the bone causes oedema and inflammation, subsequently leading to compression of blood vessels. Vascular compromise leads to ischemia and necrosis of bone leading to bone and soft tissue defects.…”

Section: Introductionmentioning

confidence: 99%

Fronto-parietal Osteomyelitis managed by Bipedicled Bucket Handle scalp flap

Dixit¹,

Upadhyay²

2018

Int Surg J

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Osteomyelitis of skull is rare clinical entity in today’s world. Mortality from complications from skull osteomyelitis is 20-40 %. We report a 60-year-old patient presented with fronto-parietal osteomyelitis with orbital extension, with known cardiac and pulmonary disease. Large bipedicled bucket handle flap was used for soft tissue reconstruction. Though free flap reconstruction is ideal for large scalp defect, it requires technical expertise and patient’s fitness for surgery. Bipedicled bucket handle flap can be successfully used for large scalp defect reconstruction in patients in which free flap reconstruction is not possible.

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Brain abscess secondary to frontal osteomyelitis

Cited by 16 publications

References 12 publications

Clinical and tomography evolution of frontal osteomyelitis: Case report

Clinical and tomography evolution of frontal osteomyelitis: Case report

Skull Base Osteomyelitis in the Emergency Department: A Case Report

Fronto-parietal Osteomyelitis managed by Bipedicled Bucket Handle scalp flap

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