Moscote-Salazar LR, Alcalá-Cerra G, Castellar-Leones SM, Gutiérrez-Paterninaa JJ

Language: Spanish
References: 11
Page: 460-462
PDF size: 97.09 Kb.

ABSTRACT

Background: acute otitis media is a frequent disease in the pediatric age. About 2 % of all cases develop intracranial complications such as meningitis. The cerebral infarction originates meningitis and usually occurs in the venous system. The presence of a cerebral artery infarction secondary to acute otitis media is a rare cause described in the literature.
Clinical case: a girl of 12 months who presented a febrile syndrome due to acute otitis media and mental confusion. On physical examination, appeared sleepy, anisocoria, mydriasis in the right eye and left hemiparesis. The computed tomography examination showed extensive cerebral artery infarction. The patient’s parents refused the proposed surgical treatment and the girl died 48 hours later.
Conclusions: regardless of the current technological advances, the clinical prognosis of cerebral infarction associated with acute otitis media is bad. The focused neurological signs and progressive clinical deterioration should raise suspicion that antimicrobial therapy is not effective.

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