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. 2019 Mar 6;119(3):431–437. doi: 10.1007/s13760-019-01110-w

Table 2.

Clinical findings on admission, complications, microbiology results, and treatment details of each patient diagnosed with skull base osteomyelitis

Patient # Clinical findings on admission Complications Culture Combined parenteral antibiotic therapy Performed surgery
1 Otalgia, severe headache, polyp in EAC, swollen EAC, TM perforation, otorrhea Facial nerve paresis meningitis, sepsis Pseudomonas aeruginosa Ciprofloxacin, ceftriaxone, clindamycin Removal of the polyp from the external auditory canal, decompression of the facial nerve, antromastoidectomy, tympanoplasty
2 Severe headache, otorrhea, TM perforation Facial nerve paresis Pseudomonas, Aspergillus flavus Vancomycin, itraconazole, ciprofloxacin Radical mastoidectomy
3 Severe otalgia Negative Ciprofloxacin
4 Headache, hoarseness, vocal fold palsy, soft palate paresis, otalgia Vagal nerve and glossopharyngeal nerve paresis Negative Ceftriaxone, metronidazole Parapharyngeal space drainage
5 Swollen mastoid Negative clindamycin, amoxicillin and clavulanate acid
6 Otalgia, swollen EAC, swollen mastoid, TM perforation, otorrhea Negative Amoxicillin and clavulanate acid, metronidazole Antromastoidectomy, tympanoplasty
7 Otalgia, reddened TM, swollen mastoid Negative Ciprofloxacin

EAC external auditory canal, TM tympanic membrane