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
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 2014-03-02
References Attached
Format application/pdf
Type Image
Relation is Part of Case presented at the NANOS 2013 Walsh Session, March 2
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6kq0zq1
Contributor Primary Atan, Denize
Setname ehsl_novel_fbw
ID 179193
Reference URL https://collections.lib.utah.edu/ark:/87278/s6kq0zq1
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