• Am J Emerg Med · Sep 2017

    Case Reports

    Gradenigo's syndrome: A case of a common infection with uncommon consequences.

    • Matthew Vitale, Misra Amrit, Rajan Arora, and Julie Lata.
    • McLaren Macomb Hospital, Department of Emergency Medicine. Electronic address: Matthew.Vitale1@mclaren.org.
    • Am J Emerg Med. 2017 Sep 1; 35 (9): 1388.e1-1388.e2.

    AbstractAcute otitis media is a common diagnosis encountered by emergency medicine providers. With appropriate antibiotic treatment, patients with otitis media, in general, have minimal long-term sequela from their underlying infection (Limb et al., 2017 [1]). However, untreated cases can develop life-threatening complications that require prompt intervention. We report a case of an 8-year-old that developed Gradenigo's syndrome, a condition characterized by the triad of otitis media, facial pain in the distribution of the trigeminal nerve, and abducens nerve palsy (Yeung and Lustig, 2016; Janjua et al., 2016; Kantas et al., 2010; Motamed and Kalan, n.d.; Vita Fooken Jensen et al., 2016 [2-6]). Signs and symptoms are often subtle, so a high-level of suspicion is required in order not to miss this potentially fatal process.Copyright © 2017 Elsevier Inc. All rights reserved.

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