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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 18, No. 2, 2013, pp. 75-81
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Bioline Code: js13033
Full paper language: English
Document type: Case Report
Document available free of charge
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East and Central African Journal of Surgery, Vol. 18, No. 2, 2013, pp. 75-81
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Uncommon complications of Otitis media in a tertiary center: A Case Series
Dunmade, A. D.; Afolabi, O. A.; Adekoya, B. J.; Alabi, B. S. & Segun-Busari, S.
Abstract
Background:
The aim is to report cases of unusual and infrequent complication of otitis media in
North-central Nigeria, as well as evaluate their outcome. We present 7 case reports of patients with
unusual complications from otitis media in our setting.
Case 1:
A fifteen year old Yoruba girl presented at the Accident and emergency of our hospital with
a 2 week history of left sided ear ache, 10 day history of left sided ear discharge and 3 day history of
jaw and neck stiffness. There was a positive history of use of ‘Turari’ locally prepared perfume and
application of an ear drop from a local chemist. Caregiver said patient was fully immunized.
Examination revealed a young girl, conscious and alert, not pale, anicteric with stiff neck, positive
and rigid joints on movement.
Case 2:
An 8 year old Yoruba girl presented first to the eye clinic with 2 days history of swelling of
the right eye, associated pain, reduction in vision and eyelid swelling without eye discharge or itch.
There was a of purulent ear discharge 8 days prior to eye symptoms. No history of trauma was
obtained. Examination revealed proptosis with zygomatic abscess extending to the post-auricular.
She had incision and drainage with systemic and topical antibiotics for ear dressing. Outcome was
uneventful.
Conclusion:
The unusual complication of otitis media still occurs in our environment usually due
to late presentation and contamination of wound. Prevention is still the best option.
Keywords
Otitis Media; Complications; Otogenic Tetanus; Ophthalmic; Proptosis
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© Copyright 2013 - East and Central African Journal of Surgery
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