再燃を繰り返した多剤耐性緑膿菌による頭蓋底骨髄炎例

抄録

Skull base osteomyelitis, an uncommon, bone marrow infection involves potential facial nerve and lower cranial nerve palsies, is commonly caused by Pseudomonas aeruginosa. It mainly plagues the elderly or those with diabetes. Skull base osteomyelitis requires prolonged treatment with antibiotics, and it is conceivable that hyperbaric oxygen therapy enhances the effect of antibiotics. We report a case with multiple cranial nerve palsies caused by multidrug-resistant Pseudomonas aeruginosa, treated by combing antibiotics, debridement, and hyperbaric oxygen.