C1/C2 osteomyelitis secondary to malignant otitis externa complicated by atlantoaxial subluxation—a case report and review of the literature

Low, Glenn; Leong, Adriel; George, Rajeesh; Tan, Gamaliel

doi:10.21037/acr.2020.03.04

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…It is highly unusual, though not unheard of, to have such a severe case of NOE in a previously healthy individual 9. Indeed in the case reported by Low et al 2020 the patient had a notable history of type 2 diabetes 11. It is therefore important to ensure NOE is considered when reviewing all patients with prolonged OE.…”

Section: Discussionmentioning

confidence: 98%

“…Vertebral complications from NOE are rarely reported. Low et al 2020 report a case of a patient diagnosed with C1/2 osteomyelitis secondary to NOE whom had a similar presentation of headache, fever and neck stiffness and developed neurological complications secondary to atlantodental subluxation 11. NOE is strongly associated with diabetes or immunosuppression and is more prevalent in the elderly 1 3 4.…”

Section: Discussionmentioning

confidence: 99%

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Paralysis from an ear infection: a severe case of otitis externa leading to acute complete cervical cord syndrome

2021

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We report a case of a generally fit and well 54-year-old man who presented with a 2-day history of worsening left-sided otorrhea, headache, neck stiffness, vomiting and fever on the background of a 7-week history of otitis externa (OE). His condition progressed dramatically as he developed symptoms consistent with acute complete cervical cord syndrome with radiological evidence of skull base osteomyelitis, parapharyngeal, retropharyngeal and paravertebral abscesses and sigmoid sinus thrombus. Ultimately, he made a significant, although not complete, recovery. This case is unique in demonstrating how OE can develop into a potentially life threatening condition. It emphasises the importance of early diagnosis and treatment of OE, the recognition of ‘red flag’ symptoms and highlights the importance of a multidisciplinary team approach when managing complex complications of OE.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Paralysis from an ear infection: a severe case of otitis externa leading to acute complete cervical cord syndrome

2021

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“…Determining the optimal time to do surgery could be challenging. In case of progressive deformity, progressive neurologic decline, and refractory pain or instability despite appropriate antibiotic therapy, surgical management is inevitable 19,34 . A summary of previous similar cases in the literature is shown in Table 1.…”

Section: Discussionmentioning

confidence: 99%

A case of atlantoaxial instability following skull base osteomyelitis: Tips for diagnosis and management

Roohollahi

Iranmehr

Andabili

2022

Clinical Case Reports

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Skull base osteomyelitis is a rare but dangerous consequence of untreated malignant otitis externa. Pseudomonas aeruginosa is responsible for most cases with typical presentation. Here, we discuss a diabetic 54‐year‐old female presented with malignant otitis externa and bilateral facial paresis followed by cervical spondylitis and C1‐C2 instability. Skull base osteomyelitis confirmed by clinical presentation, imaging, and laboratory data. Fortunately, she responded well to antibacterial and antifungal therapy. Due to limited data, there is no confirmed standard of treatment for cervical instability secondary to SBO. It seems antibiotic therapy is the mainstay of treatment. In case of poor response to antibiotic therapy, surgical intervention is inevitable. This article introduces the first case of SBO‐related AAI successfully managed with conservative treatment.

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C1/C2 osteomyelitis secondary to malignant otitis externa complicated by atlantoaxial subluxation—a case report and review of the literature

Cited by 2 publications

References 17 publications

Paralysis from an ear infection: a severe case of otitis externa leading to acute complete cervical cord syndrome

Paralysis from an ear infection: a severe case of otitis externa leading to acute complete cervical cord syndrome

A case of atlantoaxial instability following skull base osteomyelitis: Tips for diagnosis and management

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