A case-based discussion on a patient with non-otogenic fungal skull base osteomyelitis: Pitfalls in diagnosis

Journal of Laryngology and Otology

Volumn 127, Issue 8, 2013, Pages 817-821

  Asimakopoulos, P ^a   Supriya, M ^a   Kealey, S ^a   Vernham, G A ^a  

^a UNIVERSITY OF EDINBURGH   (United Kingdom)

Author keywords

Aspergillosis; Diagnostic Imaging; Mucormycosis; Osteomyelitis; Skull Base

Indexed keywords

DEMECLOCYCLINE; POSACONAZOLE;

ARTICLE; ASPERGILLUS FUMIGATUS; ASPIRATION PNEUMONIA; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; CONFUSION; DIPLOPIA; FEVER; HEADACHE; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; HYPONATREMIA; IMMUNOCOMPROMISED PATIENT; LETHARGY; MALAISE; MALE; MINI MENTAL STATE EXAMINATION; MYCOSIS; NAUSEA; OSTEOMYELITIS; PTERYGOPALATINE FOSSA; RETROSPECTIVE STUDY; SKULL BASE OSTEOMYELITIS; SKULL DISEASE; VISUAL ACUITY; VISUAL IMPAIRMENT; AGED; ASPERGILLOSIS; DELAYED DIAGNOSIS; DIAGNOSTIC IMAGING; DIFFERENTIAL DIAGNOSIS; FATALITY; MICROBIOLOGY; MORTALITY; MUCORMYCOSIS; PATHOLOGY; PREVENTION AND CONTROL; PROCEDURES; RADIOGRAPHY; SKULL BASE;

AGED; ASPERGILLOSIS; ASPERGILLUS FUMIGATUS; DELAYED DIAGNOSIS; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC IMAGING; FATAL OUTCOME; HUMANS; IMMUNOCOMPROMISED HOST; MALE; MUCORMYCOSIS; OSTEOMYELITIS; RETROSPECTIVE STUDIES; SKULL BASE;

EID: 84883416697     PISSN: 00222151     EISSN: 17485460     Source Type: Journal    
DOI: 10.1017/S002221511300145X     Document Type: Article

References (20)

1. Ducic Y. Management of osteomyelitis of the anterior skull base and craniovertebral junction. Otolaryngol Head Neck Surg 2003;128:39-42
2. Ferguson BJ. Mucormycosis of the nose and paranasal sinuses. Otolaryngol Clin North Am 2000;33:349-65
3. Lehrer RI, Howard DH, Sypherd PS. Mucormycosis. Ann Intern Med 1980;93:93-108
4. Chandler JR, Grobman L, Quencer R, Serafini A. Osteomyelitis of the base of the skull. Laryngoscope 1986;96:245-51
5. Grobman LR, Ganz W, Casiano R, Goldberg S. Atypical osteomyelitis of the skull base. Laryngoscope 1989;99:671-6
6. Kountakis SE, Kemper JV, Chang CY, DiMaio DJ, Stiernberg CM. Osteomyelitis of the base of the skull secondary to Aspergillus. Am J Otolaryngol 1997;18:19-22
7. Hoistad DL, Duvall AJ. Sinusitis with contiguous abscess involvement of the clivus and petrous apices. Ann Otol Rhinol Laryngol 1999;108:463-6
8. Chang PC, Fischbein NJ, Holliday RA. Central skull base osteomyelitis in patients without otitis externa: Imaging findings. AJNR Am J Neuroradiol 2003;24:1310-16
9. Malone DG, O'Boynick PL, Ziegler DK, Batnitzky S, Hubble JP, Holladay FP. Osteomyelitis of the skull base. Neurosurgery 1992;30:426-31
10. Laccourreye L, Halimi P, Bonfils P, Laccourreye O. Atypical pseudotumoral osteomyelitis of the skull base. Otolaryngol Head Neck Surg 2007;137:524-5
11. Margalit N. Central skull base osteomyelitis-diagnosis and treatment. In: Proceedings of the 18th Annual Meeting of the North American Skull Base Society. Los Angeles: North American Skull Base Society, 2007;14
12. Kazim O. Interdisciplinary approach for fungal skull base osteomyelitis. In: Proceedings of the 16th Annual Meeting of the North American Skull Base Society. Los Angeles: North American Skull Base Society, 2005;27
13. Beahm DD. Skull base osteomyelitis from capnocytophaga species in a 47-year-old immune competent female. In: Proceedings of the 21st Annual Meeting of the North American Skull Base Society. Los Angeles: North American Skull Base Society, 2011;38
14. Clark MP, Pretorius PM, Byren I, Milford CA. Central or atypical skull base osteomyelitis: Diagnosis and treatment. Skull Base 2009;19:247-54
15. Rowlands RG, Lekakis GK, Hinton AE. Masked pseudomonal skull base osteomyelitis presenting with a bilateral Xth cranial nerve palsy. J Laryngol Otol 2002;116:556-8
16. Seabold JE, Simonson TM, Weber PC, Thompson BH, Harris KG, Rezai K. Cranial osteomyelitis: Diagnosis and follow-up with In-111 white blood cell and Tc-99m methylene diphosphonate bone SPECT, CT, andMRimaging. Radiology 1995;196:779-88
17. Rubin J, Curtin HD, Yu VL, Kamerer DB. Malignant external otitis: Utility of CT in diagnosis and follow-up. Radiology 1990;174:391-94
18. Alazraki N, Fierer J, Resnick D. Chronic osteomyelitis: Monitoring by 99mTc phosphate and 67Ga citrate imaging. AJR Am J Roentgenol 1985;145:767-71
19. Benecke Jr. J.R. Management of osteomyelitis of the skull base. Laryngoscope 1989;99:220-3
20. Okpala NCE, Siraj QH. Radiological and radionuclide investigation of malignant otitis externa. J Laryngol Otol 2005;119: 71-5