| Horner's syndrome as a complication of acute otitis media. | |
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MedLine Citation:
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PMID: 17256405 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A seventeen-year-old girl presented with acute otitis media, unilateral miosis and ptosis (partial Horner's syndrome) and tenderness of the ipsilateral jugular vein. A culture of the otorrhoea showed Staphylococcus aureus and Streptococcus pyogenes. A CT scan revealed an infiltrate near the ipsilateral carotid artery and jugular vein. The patient was hospitalised and treated with antibiotics. Clinical signs disappeared within 6 days. This report discusses the first case with a partial Horner's syndrome as an unusual complication of acute otitis media (AOM). Imaging studies suggest extracranial lymphatic spread of the infection along the adjacent jugular vein causing pressure on the postsynaptic sympathetic fibres. Recognition of the Horner's syndrome is of importance because it may be an early sign of an extracranial complication of AOM. |
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Authors:
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J Straetmans; W Lok; R Stokroos |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: B-ENT Volume: 2 ISSN: 1781-782X ISO Abbreviation: B-ENT Publication Date: 2006 |
Date Detail:
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Created Date: 2007-01-29 Completed Date: 2007-02-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101247842 Medline TA: B-ENT Country: Belgium |
Other Details:
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Languages: eng Pagination: 181-4 Citation Subset: IM |
Affiliation:
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Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University Hospital Maastricht, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adolescent Anti-Bacterial Agents / therapeutic use Anti-Infective Agents / therapeutic use Carotid Arteries / pathology Drug Therapy, Combination Female Horner Syndrome / diagnosis, drug therapy, microbiology* Humans Jugular Veins / pathology Mastoiditis / complications Miosis / etiology Otitis Media, Suppurative / complications*, diagnosis, drug therapy, microbiology Staphylococcal Infections / complications* Staphylococcus aureus / isolation & purification Streptococcal Infections / complications* Streptococcus pyogenes / isolation & purification Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Anti-Infective Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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