 |
|
Tuberculous Petrous Apicitis
Donald B. Kearns, MD;
Newton J. Coker, MD;
James K. Pitcock, MD;
Herman A. Jenkins, MD
Arch Otolaryngol. 1985;111(6):406-408.
Abstract
| |
• Tuberculous osteomyelitis of the temporal bone is a rare and dangerous entity that should be included in the differential diagnoses of infectious processes of the base of skull. A 21-year-old man presented with petrous apicitis, extradural and retromandibular abscesses, and paresis of the facial nerve. Immediate middle fossa craniotomy and drainage of the extradural abscess, in combination with a mastoidectomy, incision and drainage of the facial abscess, and antimicrobial therapy for gram-positive cocci, failed to check the destructive nature of the infection. The patient subsequently developed labyrinthitis, sensorineural hearing loss, and meningitis. Intraoperative biopsy specimens confirmed the presence of tuberculoid granulomas, and the infectious process responded to triple-drug therapy. Tuberculosis of the temporal bone should not always be considered an indolent infection. The management of tuberculous infection of the temporal bone is outlined.
(Arch Otolaryngol 1985;111:406-408)
Author Affiliations
From the Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston.
Footnotes
Accepted for publication Jan 30, 1985.
Presented as a scientific exhibition at the annual meeting of the American Academy of Otolaryngology—Head and Neck Surgery, Las Vegas, Sept 16-20, 1984.
Reprint requests to Department of Otorhinolaryngology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030 (Dr Coker).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
RESIDENT'S PAGE: IMAGING
BRYAN and ZINREICH
Arch Otolaryngol Head Neck Surg 1997;123:348-352.
ABSTRACT
|
