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題 名 | 壞死性外耳炎併發顳頜關節及顱底骨髓炎--病例報告=Necrotizing Otitis External Complicated by Osteomyelitis of the Temporomandibular Joint and Skull Base--Case Report |
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作 者 | 王文弘; 洪志旺; 姚維仁; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 36:4 民90.07-08 |
頁 次 | 頁234-238 |
分類號 | 416.82 |
關鍵詞 | 壞死性外耳炎; 骨髓炎; Necrotizing otitis externa; Osteomyelitis; |
語 文 | 中文(Chinese) |
中文摘要 | 壞死性外耳炎併發顳頜關節及顱底骨髓炎及顱底侵犯在今日是一種較為罕見的併發症,本院1999年12月間經歷1名65歲的男性病患,因右顳骨區劇烈疼痛至本院求診。臨床診斷為壞死性外耳炎併發右側顳頜關節骨髓炎及顱底侵犯。核磁共振及同位素骨骼描証實感染。治療以口服形quinolone 持續半年為主,成功地治癒病人。治療至今已追蹤一年並無復發或神經後遣症。由於此病例感染範圍廣泛,經採用保守治療卻能有效地控制感染,特提出報告以供參考。 |
英文摘要 | In the antibiotic era, necrotizing otitis exterrna is a relatively rate external ear canal infection. It appears more often in the elderly diabetic population and can give rise to skull base osteomyelitis or cranial nerve involvement. In previous reports, Pseudomonas aeruginosa was the most commonly cultured strain. We examined a 65-year-old man who presented with a five month history of right sided otalgia and right hemicranial pain. After a series of investigations, including nuclear scans and magnetic resonance imaging (MRI), necrotizing otitis externa complicated by osteomyuelitis of the temporomandibular joint and skull base was diagnosed. A six month course of oral ciprofloxacin, 1 g daily, combined with two-weeks of intravenous pipericillin was prescribed. Nuclear and MRI scans at three and six month follow-ups showed significant improvement. No signs of recurrence or neurological sequelas have been seen to date. Conservative therapy that combines quinolone with antipseudomonal penicillins had been proved to be effective in the treatment of a widespread, deep, soft tissue infection and advanced osteomyelitis. A follow-up period of at least a year is recommended because of the high rate of recurrence within three to six months of ceasing treatment. |
本系統中英文摘要資訊取自各篇刊載內容。