Case 34-2007: A 77-year-old man with ear pain, difficulty speaking, and altered mental status

New England Journal of Medicine

Volumn 357, Issue 19, 2007, Pages 1957-1965

  Samuels, Martin A ^a,c   Gonzalez, R Gilberto ^b,c   Kim, Arthur Y ^b,c   Stemmer Rachamimov, Anat ^b,c  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CEFTRIAXONE; CHLORPHENIRAMINE; CIPROFLOXACIN; DIPHENOXYLATE; HYDROCHLOROTHIAZIDE; LISINOPRIL; LORAZEPAM; METRONIDAZOLE; OMEPRAZOLE; PARACETAMOL; TRIAMTERENE; VANCOMYCIN;

AGED; APHASIA; ARTICLE; BACTERIAL MENINGITIS; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; CONSCIOUSNESS DISORDER; HUMAN; MALE; MASTOIDITIS; OTALGIA; OTITIS MEDIA; OTORRHEA; PNEUMOCEPHALUS; PRIORITY JOURNAL; SKULL FRACTURE; TEMPORAL BONE; BRAIN; CLINICAL OBSERVATION; CLINICAL STUDY; DIAGNOSIS; DIFFERENTIAL DIAGNOSIS; FATALITY; INTRACRANIAL HYPERTENSION; PATHOLOGY; RADIOGRAPHY; SPEECH DISORDER; UNCONSCIOUSNESS;

AGED; BRAIN; DIAGNOSIS, DIFFERENTIAL; EARACHE; FATAL OUTCOME; HUMANS; INTRACRANIAL HYPERTENSION; MALE; MENINGITIS, BACTERIAL; PNEUMOCEPHALUS; SPEECH DISORDERS; TEMPORAL BONE; TOMOGRAPHY, X-RAY COMPUTED; UNCONSCIOUSNESS;

EID: 35848944851     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJMcpc079028     Document Type: Article

References (19)

1. Oberascher G. Cerebrospinal fluid otorrhea - new trends in diagnosis. Am J Otol 1988;9:102-8.
2. Brodie HA, Thompson TC. Management of complications from 820 temporal bone fractures. Am J Otol 1997;18:188-97.
3. Brodie HA. Prophylactic antibiotics for posttraumatic cerebrospinal fluid fistulae: a meta-analysis. Arch Otolaryngol Head Neck Surg 1997;123:749-52.
4. Andrews JC, Canalis RF. Otogenic pneumocephalus. Laryngoscope 1986;96:521-8.
5. Parmar MS. Pneumocephalus associated with Bacteroides fragilis meningitis. J Postgrad Med 2004;50:272-3.
6. van de Beek D, de Gans J, Tunkel AR, Wijdicks EFM. Community-acquired bacterial meningitis in adults. N Engl J Med 2006;354:44-53.
7. Southwick FS, Richardson EP Jr, Swartz MN. Septic thrombosis of the dural venous sinuses. Medicine (Baltimore) 1986;65:82-106.
8. Stam J. Thrombosis of the cerebral veins and sinuses. N Engl J Med 2005;352:1791-8.
9. Schuchat A, Robinson K, Wenger JD, et al. Bacterial meningitis in the United States in 1995. N Engl J Med 1997;337:970-6.
10. Durand ML, Calderwood SB, Weber DJ, et al. Acute bacterial meningitis in adults: a review of 493 episodes. N Engl J Med 1993;328:21-8.
11. van de Beek D, de Gans J, Spanjaard L, Weisfelt M, Reitsma JB, Vermeulen M. Clinical features and prognostic factors in adults with bacterial meningitis. N Engl J Med 2004;351:1849-59. [Erratum, N Engl J Med 2005;352:950.]
12. Merchant SN, McKenna MJ. Neurotologic manifestations and treatment of multiple spontaneous tegmental defects. Am J Otol 2000;21:234-9.
13. Gacek RR. Arachnoid granulation cerebrospinal fluid otorrhea. Ann Otol Rhinol Laryngol 1990;99:854-62.
14. Swartz MN, Dodge PR. Bacterial meningitis - a review of selected aspects: general clinical features, special problems, and unusual meningeal reactions mimicking bacterial meningitis. N Engl J Med 1965;272:725-31.
15. Segal N, Givon-Lavi N, Leibovitz E, Yagupsky P, Lieberman A, Dagan R. Acute otitis media caused by Streptococcus pyogenes in children. Clin Infect Dis 2005;41:35-41.
16. van de Beek D, de Gans J, Spanjaard L, Sela S, Vermeulen M, Dankert J. Group A streptococcal meningitis in adults: report of 41 cases and a review of the literature. Clin Infect Dis 2002;34(9):e32-e36.
17. Sommer R, Rohner P, Garbino J, et al. Group A beta-hemolytic streptococcus meningitis: clinical and microbiological features of nine cases. Clin Infect Dis 1999;29:929-31.
18. Gacek RR. Evaluation and management of temporal bone arachnoid granulations. Arch Otolaryngol Head Neck Surg 1992;118:327-32.
19. Rosenberg AE, O'Connell JX, Ojemann RG, Plata MJ, Palmer WE. Giant cystic arachnoid granulations: a rare cause of lytic skull lesions. Hum Pathol 1993;24:438-41.