Unilateral hearing loss in a 94-year-old patient

Cole, Rebecca; Thompson, Sanja; Gargalas, Sergios

doi:10.1093/ageing/afz003

Cited by 3 publications

(6 citation statements)

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“…The initial chief complaint in each case varied, however, eight out of the 10 cases presented with neurologic symptoms, the most common being a headache. [5][6][7]9,11,13,14 In all cases, CVST and SBO developed as secondary complications from a primary infectious etiology. Of note, eight of the 10 cases were male patients.…”

Section: Discussionmentioning

confidence: 99%

“…There have been only 10 other cases of CVST with SBO reported in literature to date (Table 1 ). 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 Patient age ranged from 17 to 94 years old with eight out of 10 cases occurring above the age of 50 years old. The initial chief complaint in each case varied, however, eight out of the 10 cases presented with neurologic symptoms, the most common being a headache.…”

Section: Discussionmentioning

confidence: 99%

“… 5‐14 Patient age ranged from 17 to 94 years old with eight out of 10 cases occurring above the age of 50 years old. The initial chief complaint in each case varied, however, eight out of the 10 cases presented with neurologic symptoms, the most common being a headache 5‐7,9,11,13,14 . In all cases, CVST and SBO developed as secondary complications from a primary infectious etiology.…”

Section: Discussionmentioning

confidence: 99%

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A rare life‐threatening complication of acute mastoiditis: Case report and literature review

Oommen

Valiuddin

Ring

et al. 2021

Clinical Case Reports

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Severe complications may not always present with "classic" signs and symptoms.In the setting of recent mastoiditis, complications including cerebral venous sinus thrombosis, skull base osteomyelitis, and retropharyngeal abscess should be considered, particularly with persistent or worsening symptoms. A broad differential can lead to prompt diagnosis and treatment, thereby reducing the likelihood of morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A rare life‐threatening complication of acute mastoiditis: Case report and literature review

Oommen

Valiuddin

Ring

et al. 2021

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…Indeed, overlapping symptomology can cause delayed diagnosis and treatment as the disease course progresses. 5,6 In immunocompromised patients, where the infection can spread quickly, it is important to recognize such complications and their nuanced presentation to mitigate the spread of infection. Early cultures should be considered with unusual clinical presentations, such as a patient with significant pain requiring opiates or marked progression of symptoms despite antibiotic therapy.…”

Section: Discussionmentioning

confidence: 99%

Complex Case of Skull Base Osteomyelitis Secondary to Chronic Otitis Media

2023

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We present a case of a 58-year-old male with type II diabetes managed with metformin and insulin, who presented to the clinic with left chronic otitis media, persistent drainage, a stenotic meatus, and a prior history of 3 canal wall-down mastoidectomies and antibiotic therapy. A revision tympanoplasty with mastoidectomy was performed, and during the postoperative period, the patient had persistent pain and otorrhea, which were managed with opioids and several courses of antibiotic therapy. After symptoms persisted, imaging and culture ultimately led to the diagnosis of fungal skull base osteomyelitis, which was eventually treated successfully. While these complications are rare, their likelihood is increased with treatment delay and in the immunocompromised patient. Close management of immunocompromised patients, including diabetic patients, is vital in identifying complications early to aid in timely diagnosis and treatment to lead to the best possible outcome.

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“…2 Due to nonspecific and atypical presentation in the early stages, it is very easily mistaken to be usual otitis externa and/or otitis media. 3 In addition, referral is limited under the pandemic. These factors have resulted in delayed diagnosis.…”

Section: Discussionmentioning

confidence: 99%

A Case of Atypical Skull Base Osteomyelitis Secondary to Otitis Media Due to Delayed Diagnosis

Zhang

Guan

2021

Journal of Craniofacial Surgery

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Skull base osteomyelitis that is secondary to otitis media is extremely rare in the modern antibiotic era. The authors present an 84-year-old male with atypical skull base osteomyelitis that developed from otitis media during the COVID-19 pandemic due to delayed diagnosis and partial treatment which is blamed for development of skull base osteomyelitis. The atypical presentations of skull base osteomyelitis pose a diagnostic challenge. This case highlights that even otitis media is a potentially fatal infection in older patients with diabetes. Early diagnosis and aggressive management of skull base osteomyelitis are of upmost importance and will ensure a more favorable prognosis.

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Unilateral hearing loss in a 94-year-old patient

Cited by 3 publications

References 0 publications

A rare life‐threatening complication of acute mastoiditis: Case report and literature review

A rare life‐threatening complication of acute mastoiditis: Case report and literature review

Complex Case of Skull Base Osteomyelitis Secondary to Chronic Otitis Media

A Case of Atypical Skull Base Osteomyelitis Secondary to Otitis Media Due to Delayed Diagnosis

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