Propionibacterium skull base osteomyelitis complicated by internal carotid artery pseudoaneurysm

Kathryn L Kreicher; Jonathan L Hatch; Shivangi Lohia; Ted A Meyer

doi:10.1002/lary.26412

Propionibacterium skull base osteomyelitis complicated by internal carotid artery pseudoaneurysm

Laryngoscope. 2017 Oct;127(10):2337-2339. doi: 10.1002/lary.26412. Epub 2016 Nov 15.

Authors

Kathryn L Kreicher^{1

2}, Jonathan L Hatch¹, Shivangi Lohia¹, Ted A Meyer¹

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
² School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A.

PMID: 27861948
DOI: 10.1002/lary.26412

Abstract

The microbiology of skull base osteomyelitis (SBO) is evolving. We present here the first case of SBO caused by Propionibacterium acnes leading to the development of a pseudoaneurysm of the internal carotid artery. Otolaryngologists should recognize this pathogen as a potential cause of invasive temporal bone infection to optimize prompt diagnosis and treatment. Laryngoscope, 127:2337-2339, 2017.

Keywords: Skull base; cranial base; external ear; facial nerve; malignant otitis externa; propionibacterium; skull base osteomyelitis; temporal bone.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm, False / diagnosis
Aneurysm, False / etiology*
Angiography
Carotid Artery, Internal*
Gram-Positive Bacterial Infections / complications*
Gram-Positive Bacterial Infections / diagnosis
Gram-Positive Bacterial Infections / microbiology
Humans
Imaging, Three-Dimensional
Male
Osteomyelitis / complications*
Osteomyelitis / diagnosis
Osteomyelitis / microbiology
Propionibacterium / isolation & purification*
Skull Base
Tomography, X-Ray Computed