Skull Base Osteomyelitis in the Emergency Department : A Case Report

الملخص EN

Skull base osteomyelitis (SBO) is a rare clinical presentation and usually occurs as a complication of trauma or sinusitis.

A 5-year-old child presented to the emergency department with a three-week history of fever associated with drowsiness and left parietal headache, and a week's history of swelling on the left frontoparietal soft tissue.

He had suffered a penetrating scalp injury four month ago.

On physical examination, there was a tender swelling with purulent stream on the lateral half of his scalp.

His vital signs are within normal limits.

Plain X-ray of the skull showed a lytic lesion on the left frontoparietal bone.

A cranial computed tomography (CT) scan demonstrated a large subgaleal abscess at the left frontoparietal region.

SBO possesses a high morbidity and mortality; therefore, prompt diagnosis and appropriate treatment are mandatory to prevent further complications and to reduce morbidity and mortality significantly.