| Identifier |
walsh_2014_s2_c3 |
| Title |
Beware the Trojan Horse |
| Creator |
Denize Atan; Nithin Nair; Mrinal Rana; Swarupsinh V. Chavda; Andrew Jacks |
| Affiliation |
(DA) School of Clinical Sciences, University of Bristol Bristol, United Kingdom; (DA) (NN) (NR) (AJ) Birmingham & Midlands Eye Centre, Sandwell & West Midlands NHS Trust Birmingham, United Kingdom; (MR) (SVC) (AJ) Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust Birmingham, United Kingdom |
| Subject |
Diabetes Mellitus; Pseudomonas Aeruginosa; Malignant Otitis Externa; Skull Base Osteomyelitis; Multiple Cranial Neuropathies |
| History |
Systemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin. |
| Pathology |
Pseudomonas aeruginosa |
| Disease/Diagnosis |
This diabetic patient had a left orbitopathy, multiple cranial neuropathies, pachymeningitis and skull base osteomyelitis caused by Pseudomonas aeruginosa. The original source of the organism was an otitis externa that had remained clinically silent for 6 months. |
| Presenting Symptom |
A 57 year-old Afro-Caribbean woman presented to the Emergency Department with a complete left sided ptosis, left internal and external ophthalmoplegia and no perception of light vision of the left eye. |
| Neuroimaging |
Magnetic Resonance Imaging |
| Date |
2014-03 |
| References |
1. Chandler JR. Malignant external otitis. The Laryngoscope. Aug 1968;78(8):1257-1294. 2. Rubin Grandis J, Branstetter BFt, Yu VL. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. The Lancet infectious diseases. Jan 2004;4(1):34-39. 3. Chen CN, Chen YS, Yeh TH, Hsu CJ, Tseng FY. Outcomes of malignant external otitis: survival vs mortality. Acta oto-laryngologica. 2010;130(1):89-94. 4. Rubin J, Yu VL. Malignant external otitis: insights into pathogenesis, clinical manifestations, diagnosis, and therapy. The American journal of medicine. Sep 1988;85(3):391-398. 5. Mani N, Sudhoff H, Rajagopal S, Moffat D, Axon PR. Cranial nerve involvement in malignant external otitis: implications for clinical outcome. The Laryngoscope. May 2007;117(5):907-910. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Image |
| Source |
46th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2014 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2014. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6kq0zq1 |
| Setname |
ehsl_novel_fbw |
| ID |
179193 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6kq0zq1 |
