Tubercular skull base osteomyelitis in an immunocompetent individual: A rare entity“
Skull base osteomyelitis is a rare life-threatening condition seen most commonly in immunocompromised patients, generally caused by ear infections with commonest causative organism being Pseudomonas Aeruginosa. Atypical skull base osteomyelitis commonly involves sphenoid and occipital bones. Patient...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920303777 |
| _version_ | 1818676874102964224 |
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| author | Sanjay Kumar Ashok Kumar Hrishikesh Gadhavi Vikas Maheshwari |
| author_facet | Sanjay Kumar Ashok Kumar Hrishikesh Gadhavi Vikas Maheshwari |
| author_sort | Sanjay Kumar |
| collection | DOAJ |
| description | Skull base osteomyelitis is a rare life-threatening condition seen most commonly in immunocompromised patients, generally caused by ear infections with commonest causative organism being Pseudomonas Aeruginosa. Atypical skull base osteomyelitis commonly involves sphenoid and occipital bones. Patient generally presents with headache as chief complaint & later may develop complications in the form of cranial neuropathies. Clinical diagnosis is difficult due to subtle & non-specific findings therefore, clinician has to have a high index of suspicion & low threshold for investigations. Early recognition of characteristic imaging findings is important for correct & timely diagnosis to differentiate it from skull base malignancy and to decrease the morbidity. Prompt diagnosis by early tissue sampling and appropriate treatment are of utmost importance to prevent or limit further complications such as intracranial extension, empyema, or death. Monitoring of the ESR has prognostic importance that can help to guide the duration of antibiotic therapy. We report a rare case of extensive skull base atypical osteomyelitis in an immunocompetent person without preceding infection. He was diagnosed promptly, managed surgically with debridement of abscess, drainage of pus and recovered well without any neurological deficits. This case is being reported because we could not find any similar case after an extensive search of the literature and the complete recovery made by the patient. |
| first_indexed | 2024-12-17T08:50:24Z |
| format | Article |
| id | doaj.art-28796904f80746cca5f75b77a9d11779 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-17T08:50:24Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-28796904f80746cca5f75b77a9d117792022-12-21T21:56:05ZengElsevierInterdisciplinary Neurosurgery2214-75192021-06-0124100816Tubercular skull base osteomyelitis in an immunocompetent individual: A rare entity“Sanjay Kumar0Ashok Kumar1Hrishikesh Gadhavi2Vikas Maheshwari3Department of Neurosurgery, Command Hospital (Southern Command), Pune 411040, India; Corresponding author at: Department of Neurosurgery, Command Hospital (Southern Command), Pune 411040, India.SR Neurosurgery, Department of Neurosurgery, Command Hospital (Southern Command), Pune 411040, IndiaDepartment of Neurosurgery, Command Hospital (Southern Command), Pune 411040, IndiaSR Neurosurgery, Department of Neurosurgery, Command Hospital (Southern Command), Pune 411040, IndiaSkull base osteomyelitis is a rare life-threatening condition seen most commonly in immunocompromised patients, generally caused by ear infections with commonest causative organism being Pseudomonas Aeruginosa. Atypical skull base osteomyelitis commonly involves sphenoid and occipital bones. Patient generally presents with headache as chief complaint & later may develop complications in the form of cranial neuropathies. Clinical diagnosis is difficult due to subtle & non-specific findings therefore, clinician has to have a high index of suspicion & low threshold for investigations. Early recognition of characteristic imaging findings is important for correct & timely diagnosis to differentiate it from skull base malignancy and to decrease the morbidity. Prompt diagnosis by early tissue sampling and appropriate treatment are of utmost importance to prevent or limit further complications such as intracranial extension, empyema, or death. Monitoring of the ESR has prognostic importance that can help to guide the duration of antibiotic therapy. We report a rare case of extensive skull base atypical osteomyelitis in an immunocompetent person without preceding infection. He was diagnosed promptly, managed surgically with debridement of abscess, drainage of pus and recovered well without any neurological deficits. This case is being reported because we could not find any similar case after an extensive search of the literature and the complete recovery made by the patient.http://www.sciencedirect.com/science/article/pii/S2214751920303777Skull base osteomyelitis (SBO)Atypical osteomyelitisAntitubercular Treatment (ATT)Immunocompetent |
| spellingShingle | Sanjay Kumar Ashok Kumar Hrishikesh Gadhavi Vikas Maheshwari Tubercular skull base osteomyelitis in an immunocompetent individual: A rare entity“ Interdisciplinary Neurosurgery Skull base osteomyelitis (SBO) Atypical osteomyelitis Antitubercular Treatment (ATT) Immunocompetent |
| title | Tubercular skull base osteomyelitis in an immunocompetent individual: A rare entity“ |
| title_full | Tubercular skull base osteomyelitis in an immunocompetent individual: A rare entity“ |
| title_fullStr | Tubercular skull base osteomyelitis in an immunocompetent individual: A rare entity“ |
| title_full_unstemmed | Tubercular skull base osteomyelitis in an immunocompetent individual: A rare entity“ |
| title_short | Tubercular skull base osteomyelitis in an immunocompetent individual: A rare entity“ |
| title_sort | tubercular skull base osteomyelitis in an immunocompetent individual a rare entity |
| topic | Skull base osteomyelitis (SBO) Atypical osteomyelitis Antitubercular Treatment (ATT) Immunocompetent |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920303777 |
| work_keys_str_mv | AT sanjaykumar tubercularskullbaseosteomyelitisinanimmunocompetentindividualarareentity AT ashokkumar tubercularskullbaseosteomyelitisinanimmunocompetentindividualarareentity AT hrishikeshgadhavi tubercularskullbaseosteomyelitisinanimmunocompetentindividualarareentity AT vikasmaheshwari tubercularskullbaseosteomyelitisinanimmunocompetentindividualarareentity |