caa a22 4500 475848136 CHVBK 20180406123920.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/PL00007504 doi (NATIONALLICENCE)springer-10.1007/PL00007504 Lateral sinus thrombosis after untreated otitis media [Elektronische Daten] A clinical problem - again? [Odd Spandow, Leif Gothefors, Markku Fagerlund, Bo Kristensen, Stig Holm] Antimicrobial agents have greatly reduced the incidence of intracranial complications of infections of the middle ear and mastoid. Too many prescriptions and overconsumption of antibiotics when otitis media is suspected has caused resistance to many antibiotics, leading to a pronounced and justifiable desire to reduce the widespread excessive use of antibiotics. The possible untoward consequences of a too restricted antibiotic policy, however, is illustrated by the following case of a 14-year-old boy who, after non-treatment of an ear infection, fell ill with one-sided headache and vomiting caused by a lateral sinus thrombosis. After intravenous treatment with antibiotics, anticoagulants and ventilation of the middle ear, the infection was cured without complications. This case calls attention to the symptoms of otitic complications arising outside the temporal bone. The physician must always bear in mind the possibility of an unusual event. The general treatment of endocranial complications is outlined, giving details of the treatment given in this special case. We stress that one should not be too cautious in prescribing antibiotics in otitis media. Springer-Verlag Berlin Heidelberg, 2000 Key words Otitis media nationallicence Complications nationallicence Sinus ¶thrombosis nationallicence Antibiotics nationallicence Anticoagulation therapy nationallicence Ear surgery nationallicence Spandow Odd Department of Otorhinolaryngology, Norrlands University Hospital, Umeå, Sweden, SE aut Gothefors Leif Department of Paediatrics, Norrlands University Hospital, Umeå, Sweden, SE aut Fagerlund Markku Department of Diagnostic Radiology, Norrlands University Hospital, Umeå, Sweden, SE aut Kristensen Bo Department of Neurology, Norrlands University Hospital, Umeå, Sweden, SE aut Holm Stig Department of Clinical Bacteriology, Norrlands University Hospital, Umeå, Sweden, SE aut https://doi.org/10.1007/PL00007504 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/PL00007504 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Spandow Odd Department of Otorhinolaryngology, Norrlands University Hospital, Umeå, Sweden, SE aut NATIONALLICENCE 700 1- Gothefors Leif Department of Paediatrics, Norrlands University Hospital, Umeå, Sweden, SE aut NATIONALLICENCE 700 1- Fagerlund Markku Department of Diagnostic Radiology, Norrlands University Hospital, Umeå, Sweden, SE aut NATIONALLICENCE 700 1- Kristensen Bo Department of Neurology, Norrlands University Hospital, Umeå, Sweden, SE aut NATIONALLICENCE 700 1- Holm Stig Department of Clinical Bacteriology, Norrlands University Hospital, Umeå, Sweden, SE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer