scholarly journals Anaerobic Brain Abscess following Chronic Suppurative Otitis Media in a Child from Uganda

2009 ◽  
Vol 20 (3) ◽  
pp. e91-e93 ◽  
Author(s):  
KA Cox ◽  
G Al-Rawahi ◽  
TR Kollmann
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
High Mortality ◽  
Developing World ◽  
Surgical Excision ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media

Brain abscess, while rare, confers high mortality, especially in the developing world. The case of a Ugandan child with a polymicrobial brain abscess including infection withTissierella praeacuta/Clostridium hastiformerequiring repeated drainage and eventual surgical excision is reported. The case demonstrates the importance of considering anaerobic organisms in the treatment of children with brain abscess from the developing world.

scholarly journals Current epidemiological trends of brain abscess: a clinicopathological study

2017 ◽  
Vol 31 (3) ◽  
pp. 414-421 ◽  
Author(s):  
Neha Singh ◽  
Deepak Kumar Singh ◽  
Rakesh Kumar ◽  
Hanuman Prajapati
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
Surgical Excision ◽  
Clinical History ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Detailed Clinical History ◽  
Haematogenous Spread ◽  
Epidemiological Trends ◽  
Spread Of Infection

Abstract Aims: To determine the current epidemiological trends, clinical presentation and commonest organism of brain abscess in this part of the country. Material and Methods: 104 cases admitted during August 2009 to July 2016 in the Department of neurosurgery of Dr RMLIMS Lucknow were included in the study. Detailed clinical history was taken and detailed neurological examination was done. Relevant laboratory investigations were done as needed along with CT scan and /or MRI brain. Patients were managed by aspiration or surgical excision and aspirated material sent for microbiological examination. Results were collected and analyzed. Results: Chronic suppurative otitis media (CSOM) was the commonest cause of infection in 54.81% cases. Trauma was encountered in 10.58%% cases. Other causes were haematogenous spread of infection, dental caries and immunodeficiency. No source could be identified in 23 patients (22.11%). Conclusion: Chronic suppurative otitis media (CSOM) is still a major cause of brain abscess in developing country like India which is a benign curable disease and should not be neglected. Prompt diagnosis and treatment allows immediate decompression of mass reduces duration of antibiotic stay and minimizes treatment cost.

scholarly journals Complications of Chronic Suppurative Otitis Media: A Left Otogenic Brain Abscess and a right Mastoid Fistula

2012 ◽  
Vol 91 (10) ◽  
pp. 428-431 ◽  
Author(s):  
Yok Kuan Chew ◽  
Jack Pein Cheong ◽  
Abdullah Khir ◽  
Sushil Brito-Mutunayagam ◽  
Narayanan Prepageran
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media

scholarly journals Simultaneous Management of Otogenic Brain Abscess and Suppurative Otitis Media: Retrospective analysis

2016 ◽  
Vol 13 (1) ◽  
pp. 19-22
Author(s):  
Ram K Shrestha ◽  
Gopal Sedain ◽  
Mohan R Sharma ◽  
Sushil K Shilpakar ◽  
Amit B Pradhananga ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Brain Abscess ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Intracranial Complication ◽  
Intracranial Complications ◽  
Life Threatening ◽  
Simultaneous Management

Intracranial complications of Chronic Suppurative Otitis Media(CSOM) are common. Brain abscess is the commonest intracranial complication. Traditionally, life threatening brain abscess was managed first and the causative otitis dealt later. However, with the aim of dealing with both at the outset, we have started treating these problems in the same anesthesia setting. Retrospective analysis of the consecutive patients treated simultaneously is presented.Nepal Journal of Neuroscience 13:19-22, 2016   

scholarly journals Ten years incidence of intracranial complications of chronic suppurative otitis media

2020 ◽  
Vol 3 (6) ◽  
pp. 996-1001
Author(s):  
Khaled Mohamed Mokbel Khalefa
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
Sinus Thrombosis ◽  
University Hospital ◽  
Chronic Suppurative Otitis Media ◽  
Lateral Sinus ◽  
Suppurative Otitis Media ◽  
Mortality And Morbidity ◽  
Number Of Patients ◽  
Intracranial Complications

Background: complications of chronic Suppurative Otitis Media have mortality and morbidity risks which are caused by Reluctance in its management with late presentation. The aim of this study was to investigate, the frequency, mortality and morbidity of intracranial complications of chronic suppurative otitis media admitted at our tertiary University Hospital in ten years from 2006 -2016. Result: The total number of patients reported with intracranial complication due to chronic suppurative otitis media was 64 patients. Brain abscess and Meningitis were present in 24 (37.5%) and 22 cases (34.4%). In 14 cases (21.8%) extradural abscess was found while 4 (6.3%) had lateral sinus thrombosis. Conclusion: Brain abscess is the most common and dangerous complication in chronic suppurative otitis media in our region.

scholarly journals FREQUENCY OF COMPLICATIONS IN CHRONIC SUPPURATIVE OTITIS MEDIA

1969 ◽  
Vol 3 (2) ◽  
pp. 328-330
Author(s):  
MAHID IQBAL ◽  
ADNAN ◽  
IHSANULLAH ◽  
SHARAFAT ◽  
MAQBOL UR REHMAN ◽  
...  
Keyword(s):  
Brain Abscess ◽  
Otitis Media ◽  
Teaching Hospital ◽  
Prospective Studies ◽  
Early Recognition ◽  
Age Distribution ◽  
Chronic Suppurative Otitis Media ◽  
Lateral Sinus ◽  
Suppurative Otitis Media ◽  
Female Age

OBJECTIVE: To determine the frequency of complications in patients suffering from chronic suppurativeotitis media (CSOM).METHODS: This study was done in Saidu Sharif Teaching Hospital from 1 st March 2010 to 30thJune 2013.In this prospective studies 53 patients ofChronic suppurative otitis media were selected.RESULTS: In our study 31(58.4%) male and 22 (41.5%) were female. Age distribution was from 1 to 10years 11(20.7%), 11 to 20 years 25(47.1%), 21 to 30 years 13(24.5%), 30 to 40 years 04(7.54%). Out of 53patients 28 (52.8%) presented with different complications. Mastoid abscess 10 (18.8 %), Facial nerveparalysis 05 (9.43%), Meningitis 03 (5.66%), Bezold abscess 02 (3.77%), Brain abscess 02 (3.77%), %),Lateral sinus thrombo phlebitis 02 (3.77%), Labrynthitis 02 (3.77%), Ototic hydrocephalus 01(1.88Sigmoid sinus thrombo phlbitis 01 (1.88%).CONCLUSION: Early recognition and treatment of CSOM can reduce the number of cases and complications of the disease.KEYWORDS: CSOM, Complications

Perbedaan sensitivitas tetes telinga antibiotik terhadap Pseudomonas aeruginosa pada otitis media supuratif kronik

2012 ◽  
Vol 42 (2) ◽  
Author(s):  
Anton Budhi Darmawan ◽  
Dwi Utami Anjarwati
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Test Results ◽  
Sectional Study ◽  
Suppurative Otitis Media ◽  
Number Of Patients ◽  
Significant Difference ◽  
Cochran Test ◽  
Post Hoc

Background: Chronic suppurative otitis media (CSOM) is one infectious disease of the middle ear, most commonly caused by Pseudomonas aeruginosa. A high number of patients come to the ENT outpatient clinic with active benign type of CSOM. The bacteria Pseudomonas aeruginosa is capable of producing biofilm which protects itself from penetration of antibiotics, and therefore creates resistance towards antibiotics and difficult to eradicate. Objective: The aim of this study was to compare the sensitivity levels of chloramphenicol, polymyxin-neomycin, cyprofloxacin and ofloxacine against Pseudomonas aeruginosa in patients with active benign type CSOM in ENT clinic. Method: The method used was across sectional study on 25 patients, from August 2010 until December 2010. Samples were taken withear swab and then put on sensitivity test to chloramphenicol, polymyxin-neomycin, cyprofloxacin andofloxacine using the diffusion disc method. The analysis used in this study was Cochran test. Results: Results showed a significant difference in sensitivity among chloramphenicol (38,70%), polymyxinneomycin(83,87%),cyprofloxacin(90,32%)andofloxacin(58,06%)withp=0,000(p<0,05).PostHocanalysisusing the Mc Nemar indicated that there were significant differences in sensitivity betweenpolymyxin-neomycin to chloramphenicol with p=0,000 (p<0,05), ciprofloxacin to chloramphenicol andciprofloxacin to ofloxacine with p= 0,002, but there were no significant differences between cyprofloxacinto polymyxin-neomycin with p=0,687, polymyxin-neomycin to ofloxacin p=0.057 and ofloxacin tochloramphenicol p=0,109.   There were significant differences in antibiotic ear dropssensitivity to Pseudomonas aeruginosa in patients with active benign type of CSOM. Cyprofloxacin andpolymyxin-neomycin were more sensitive than ofloxacin and chloramphenicol. Keywords: Pseudomonas aeruginosa, active benign type of chronic suppurative otitis media, antibioticear drops.  Abstrak :  Latar belakang: Otitis media supuratif kronik (OMSK) merupakan penyakit infeksi kronik telinga tengah yang sering dijumpai di klinik THT. Penyebab tersering OMSK adalah bakteri Pseudomonasaeruginosa. Pseudomonas aeruginosa mempunyai kemampuan untuk membentuk biofilm yangmelindunginya dari penetrasi antibiotik sehingga menimbulkan resistensi terhadap antibiotik dan sulituntuk eradikasinya. Tujuan: Untuk mengetahui perbandingan tingkat sensitivitas kloramfenikol,polimiksin-neomisin, ciprofloksasin dan ofloksasin terhadap isolat Pseudomonas aeruginosa padapasien OMSK benigna aktif di klinik THT RSMS. Metode: Metode yang digunakan adalah crosssectional terhadap 29 pasien OMSK di klinik THT RSMS periode bulan Agustus 2010 - Desember2010. Pengambilan sampel dilakukan dengan swab telinga. Uji sensitivitas terhadap kloramfenikol,polimiksin-neomisin, ciprofloksasin dan ofloksasin dilakukan dengan metode cakram secara difusi.Analisis yang digunakan dalam penelitian ini adalah Cochran dan analisis post hoc. Hasil: Didapatkansensitivitas kloramfenikol sebesar 38,70%, polimiksin-neomisin sebesar 83,87%, ciprofloksasin sebesar90,32% dan ofloksasin sebesar 58,06% dengan p=0,01 (P<0,05), yang menunjukkan adanya perbedaansensitivitas yang bermakna antara kloramfenikol, polimiksin-neomisin, ciprofloksasin dan ofloksasinterhadap Pseudomonas aeruginosa. Analisis post hoc menggunakan Mc Nemar menunjukkan bahwaterdapat perbedaan sensitivitas yang bermakna antara tetes telinga polimiksin-neomisin terhadapkloramfenikol, dan ciprofloksasin terhadap kloramfenikol p=0,000 (p<0,05), serta terdapat perbedaanyang bermakna antara tetes telinga ciprofloksasin terhadap ofloksasin, p=0,002, tetapi tidak terdapatperbedaan yang bermakna antara ciprofloksasin terhadap polimiksin-neomisin, p=0,687, polimiksinneomisinterhadap ofloksasin p=0,057, dan kloramfenikol terhadap ofloksasin p=0,109. Kesimpulan:Terdapat perbedaan sensitivitas yang bermakna tetes telinga antibiotik terhadap Pseudomonas aeruginosa pada pasien OMSK benigna aktif. Ciprofloksasin dan polimiksin-neomisin tetes telinga mempunyai sensitivitas yang lebih baik dibanding ofloksasin dan kloramfenikol. Kata kunci: Pseudomonas aeruginosa, otitis media supuratif kronik, tetes telinga antibiotik 

A pre- and postoperative bacteriological study of chronic suppurative otitis media

Infection ◽  
2010 ◽  
Vol 38 (6) ◽  
pp. 447-452 ◽  
Author(s):  
H. J. Shim ◽  
C. H. Park ◽  
M. G. Kim ◽  
S. K. Lee ◽  
S. G. Yeo
Keyword(s):  
Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Bacteriological Study
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