A Rare Case of Odontogenic Chronic Suppurative Otitis Media

Schartz, Derrek; Polacco, Marc A.; Holmgren, Eric P.; McCool, Ryan R

doi:10.7759/cureus.4284

Cited by 2 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ultimately, this case serves as a poignant reminder of the significance of adopting a comprehensive, patient-centered approach and maintaining a broad differential when addressing complex and persistent medical conditions. (Esra, Banu, & Erdinc, 2013;Schartz, Polacco, Holmgren, & McCool, 2019)…”

Section: Discussionmentioning

confidence: 99%

Unveiling the Dental Connection: A Case Report of Odontogenic Initiating Chronic Suppurative Otitis Media

Khatimah,

Surya

2024

Mal Nurse J.

View full text Add to dashboard Cite

Chronic suppurative otitis media (CSOM) is a troubling condition that encompasses a range of factors contributing to its etiology. In this context, we present an intriguing and atypical case that adds a novel dimension to the understanding of CSOM. This particular case is marked by its prolonged and treatment-resistant nature, defying conventional medical treatments and prompting us to explore less common etiological pathways. Our case, however, deviates from the norm. It presents a conundrum that led us to investigate an alternative and less explored avenue. During our comprehensive diagnostic evaluation, our attention was drawn to the possibility of a hematogenic infection that may have originated from dental caries. This scenario emerged as the primary candidate for the source of the patient's chronic suppurative otitis media. This intriguing case represents a unique instance of a hematogenic infection stemming from dental caries. The hematogenic pathway, while previously considered uncommon, may be the precipitating factor behind the development of chronic suppurative otitis media in this patient. This perspective widens our understanding of the various potential etiological factors contributing to CSOM and highlights the importance of considering less conventional sources of infection. In the context of otologic disorders, the case we present underscores the necessity of a thorough and holistic diagnostic approach, acknowledging that the origins of such conditions can often be multifaceted and not limited to the conventional causes. Furthermore, this case serves as a reminder for clinicians to maintain a high level of suspicion for atypical etiological pathways when faced with treatment-resistant and persistent manifestations of CSOM. Keywords: Chronic Suppurative Otitis Media, Dental Caries, Odontogenic, Hematogenic

show abstract

Section: Discussionmentioning

confidence: 99%

Unveiling the Dental Connection: A Case Report of Odontogenic Initiating Chronic Suppurative Otitis Media

Khatimah,

Surya

2024

Mal Nurse J.

View full text Add to dashboard Cite

show abstract

“…Several risk factors, such as a history of acute otitis media, upper respiratory tract infections, allergies, inappropriate antibiotic therapy, and passive smoking, are associated with CSOM [ 49 ]. In addition, low socio-economic status and poor quality of living or odontogenic infections were found to be aggravating factors for CSOM [ 4 , 49 ]. Despite local antibiotic treatment, refractory CSOM may present extracranial (e.g., labyrinthitis, facial nerve palsy, subperiosteal abscess) or intracranial (e.g., brain abscesses, meningitis, lateral sinus thrombophlebitis, subdural empyema) complications [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The extended results of our review are displayed in Table 2. Several risk factors, such as a history of acute otitis media, upper respiratory tract infections, allergies, inappropriate antibiotic therapy, and passive smoking, are associated with CSOM [49]. In addition, low socio-economic status and poor quality of living or odontogenic infections were found to be aggravating factors for CSOM [4,49].…”

Section: Discussionmentioning

confidence: 99%

Polymicrobial Bacterial Meningitis in a Patient with Chronic Suppurative Otitis Media: Case Report and Literature Review

Vâţă,

Irimie-Băluţă,

Roşu

et al. 2023

Medicina

View full text Add to dashboard Cite

Polymicrobial meningitis is a rare entity in the adult population, especially in the antibiotic era. However, disorders such as chronic suppurative otitis media (CSOM) or even poor oral hygiene are considered risk factors for the development of such cerebral infection. We report a case of polymicrobial meningitis associated with oto-mastoiditis in a 64-year-old female patient known to have CSOM. The patient presented atypical symptoms for community-acquired meningitis, showing subacute evolution of headache, without fever or neck stiffness. The aerobe microorganisms Streptococcus anginosus and Corynebacterium spp., sensitive to beta-lactamines, and the anaerobe Prevotella spp., resistant to penicillin and metronidazole, were isolated from CSF specimens, while Proteus mirabilis and Enterococcus faecalis were identified from the ear drainage. The diversity of pathogens identified in our case led us to the hypothesis of two different sources of meningitis: otogenic and/or odontogenic. Favorable evolution was obtained after a multi-disciplinary approach, combining surgery and broad-spectrum antibiotics. In addition, we performed a literature review that highlights the low incidence of polymicrobial mixed aerobe–anaerobe meningitis.

show abstract

A Rare Case of Odontogenic Chronic Suppurative Otitis Media

Cited by 2 publications

References 12 publications

Unveiling the Dental Connection: A Case Report of Odontogenic Initiating Chronic Suppurative Otitis Media

Unveiling the Dental Connection: A Case Report of Odontogenic Initiating Chronic Suppurative Otitis Media

Polymicrobial Bacterial Meningitis in a Patient with Chronic Suppurative Otitis Media: Case Report and Literature Review

Contact Info

Product

Resources

About