Otogenic Lemierre’s Syndrome With Bilateral Metastatic Pneumonia: Report of an Unusual Case in a Male

Abstract

Writing, content analysis, and formatting of manuscripts by Pei Yuan Fong; writing and content analysis of manuscripts by Yew Meng Chan and Joyce Zhi'en Tang. Ethics Approval and Consent to Participate:The study is in accordance with the ethical standards of the 1964 Helsinki declaration and its later amendments or comparable ethical standards. According to the Centralized Institutional Review Board (CIRB) Guidelines for SingHealth, this case report was exempt from research approval.Publication Consent: A consent was obtained from the patient prior to the use of de-identified patient data for academic and educational purposes, including publication in a journal.Availability of Data and Materials: Data sharing does not apply to this article since no datasets were generated or analysed during the current study.

Safe Tympanic Retraction May Be Unsafe: A False Sense of Security in a Patient with Cholesteatoma

“…The fact that the retraction pocket was clean and had a bottom area that was clearly visible led a non-competent ear specialist to falsely conclude that the retraction pocket was safe. The delay in diagnosing cholesteatoma for several years could have resulted in serious complications [9][10][11][12][13]. This case report has straightforward clinical implications.…”

“…The subsequent formation of a cholesteatoma may obstruct the opening of the pocket, thereby inducing ingrowth expansion into the middle ear cleft [8]. Undiscovered or untreated cholesteatomas may grow dangerously large and/or invade intratemporal structures, which can lead to intra-and extra-cranial complications [8][9][10][11][12].…”