Malignant external otitis and mastoiditis associated with an IgG4 subclass deficiency in a child.
نویسندگان
چکیده
We have presented the first child in Delaware with malignant external otitis associated with IgG4 deficiency. Our patient needed three courses of intravenous antibiotics and twice required mastoidectomy, but has recovered completely following the restoration of the natural barrier between the internal and external ear, using a fascial graft from the large temporalis muscle. Some hearing deficit remains.
منابع مشابه
Mastoiditis, Bezold Abscess, Dural Sinus Thrombosis, and Bilateral Abducens Nerve Palsy in a Child with Chronic Suppurative Otitis Media: A Rare Case Report
Chronic suppurative otitis media (CSOM) is a common childhood infectious disease in developing countries. It may be associated with various life threatening intra-cranial or extra-cranial complications. We report a 10 year-male child with a rare combination of right sided unsafe CSOM, mastoiditis, Bezold abscess, sigmoid and transverse sinus thrombosis, and bilateral abducens nerve palsy and ...
متن کاملB-Cell Malignant Lymphoma Presenting as Otitis Media and Mastoiditis Associated with Sinus Thrombosis
Cerebral venous thrombosis as a manifestation of paraneoplastic angitis and otitis media, revealing non-Hodgkin B-cell lymphoma (NHBL), is extremely rare. A 57-year-old woman presented with headache, auditory disturbance and recalcitrant otitis media. Magnetic resonance imaging showed brain edema in the temporal lobe and transverse sinus thrombosis. External drainage under antibiotic treatment ...
متن کاملSurgical treatment of male pattern baldness.
1 Chandler JR. Malignant otitis externa. Laryngoscope 1968;78:1257-94. 2 Chandler JR. Pathogenesis and treatment of facial paralysis due to malignant otitis externa. Ann OtolRhinol Laryngol 1972;81:648-58. 3 SchwartzGA, BlumenkrantzMJ, StudmakerWHL. Neurologiccomplicationsofmalignantotitis extema. Neuroloz 1971;21:1077-84. 4 Joachims HZ. Malignant external otitis in children. Arch Otola,yngol 1...
متن کاملEVALUATION OF SERUM IgG SUBCLASS LEVELS IN ASTHMATIC AND ATOPIC CHILDREN WITH RECURRENT INFECTION
Serum IgG subclass levels were measured using an indirect immunoenzymatic assay (ELISA) with monoclonal antibodies in 16 children with asthma and 13 children with atopy who had mostly recurrent infections. Seven of the asthmatic children had marked low or low normal levels of IgG4, six had marked low or low normal levels of IgG 3, two had marked low normal levels of both IgG2, and IgG 3 and...
متن کاملTuberculosis of the ear, a professional disease?
Tuberculosis is a rare cause of chronic suppurative otitis media and mastoiditis; the predisposing factors of this association, however, are not commonly described. There has been an alarming increase in the incidence of tuberculosis in Brazil, including tuberculous otitis media. These patients typically present multiple perforations of the tympanic membrane, an ear discharge, and progressive h...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Delaware medical journal
دوره 62 12 شماره
صفحات -
تاریخ انتشار 1990