Beware the Trojan Horse

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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
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