Otogenic and rhinogenic intracranial complications: meningitis and brain abscess in adults

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The purpose of this study is to review etiology, diagnosis and management strategies of rhinogenic and otogenic meningitis and brain abscess in adults. Current diagnostic procedures, effective surgery and antibiotic treatment are discussed. The clinical case of diagnosis and successful treatment of the patient with rhinogenic meningitis and brain abscesses is presented.

Keywords:

intracranial complication

meningitis

brain abscess

otitis complication

sinusitis complication

Authors:

Pal'chun V.T.

SPIN RSCI: 717276
Scopus AuthorID: 7006383706
ResearcherID: 5212-9090
ORCID: 0000-0002-3521-7424

Guseva A.L.

Pirogov Russian National Research Medical University, Moscow

SPIN RSCI: 4417-2650
Scopus AuthorID: 56605413000
ORCID: 0000-0002-7988-4229

Derbeneva M.L.

Kafedra otorinolaringologii RNIMU im. N.I. Pirogova Minzdrava Rossii, Moskva, Rossiia, 117997

Guseva O.A.

Kafedra otorinolaringologii RNIMU im. N.I. Pirogova Minzdravsotsrazvitiia Rossii, Moskva

List of references:

Yüce S, Polat K, Onder I, Doğan M, Müderris S. Chronic otitis media with multiple complications. J Craniofac Surg. 2013;24(4):403-405. https://doi.org/10.1097/SCS.0b013e318292c7b6
Kaftan H, Draf W. Intracranial otogenic complications: inspite of therapeutic progress still a serious problem. Laryngorhinootologie. 2000;79(10):609-615. https://doi.org/10.1055/s-2000-7682
Kuznecov VS, Abdulhamidov H, Kurbanov S, Edalkin PN. Structure of lethality causes in patients with otorhinolaryngological diseases. Vestnik Otorinolaringologii. 1994;3:23-24. (In Russ.)
Yanov YuK, Krivopalov AA, Shcherbuk YuA, Artyushkin SA, Vakhrushev SG, Dorofeev VI, Komarov MV, Tuzikov NA. The specific clinical features of otogenic intracranial complications: the current. Vestnik Otorinolaringologii. 2015;80(5):23-29. (In Russ.) https://doi.org/10.17116/otorino201580523-29
Bradley PJ, Manning KP, Shaw MD. Brain abscess secondary to paranasal sinusitis. J Laryngol Otol. 1984;98:719-725.
Ray BS, Parsons H. Subdural abscess complicating frontal sinusitis. Arch Otolar. 1943;37:536-551.
Krivopalov AA, Artiushkin SA, Tuzikov NA, Demidenko AN, Piskunov VS. The specific features of rhinosinusogenic intracranial complications. Rossiyskaya Rinologiya. 2014;22(3):4-11. (In Russ.)
Tandon S, Beasley N, Swift AC. Changing trends in intracranial abscesses secondary to ear and sinus disease. J Laryngol Otol. 2009;123(3):283-288. https://doi.org/10.1017/S002221510800234X
Gadzhimirzaev GA, Dzhamaludinov YuA, Gadzhimirzaeva RG, Kamalov ESh. The diagnostics and treatment of otogenic intracranial complications. Vestnik Otorinolaringologii. 2016;81(5):8-11. (In Russ.) https://doi.org/10.17116/otorino20168158-11
Van der Poel NA, van Spronsen E, Dietz de Loos DA, Ebbens FA. Early signs and symptoms of intracranial complications of otitis media in pediatric and adult patients: A different presentation? Int J Pediatr Otorhinolaryngol. 2017;102:56-60. https://doi.org/10.1016/j.ijporl.2017.08.034
de Gans J, van de Beek D; European Dexamethasone in Adulthood Bacterial Meningitis Study Investigators. Dexamethasone in adults with bacterial meningitis. N Engl J Med. 2002;347(20):1549-1556. https://doi.org/10.1056/NEJMoa021334
van de Beek D, de Gans J, Spanjaard L, et al. Clinical features and prognostic factors in adults with bacterial meningitis. N Engl J Med. 2004;351:1849.
van de Beek D, Cabellos C, Dzupova O, Esposito S, Klein M, Kloek AT, et al.; ESCMID Study Group for Infections of the Brain (ESGIB). ESCMID guideline: diagnosis and treatment of acute bacterial meningitis. Clin Microbiol Infect. 2016;22(suppl 3):37-62. https://doi.org/10.1016/j.cmi.2016.01.007
Thomas KE, Hasbun R, Jekel J, Quagliarello VJ. The diagnostic accuracy of Kernig’s sign, Brudzinski’s sign, and nuchal rigidity in adults with suspected meningitis. Clin Infect Dis. 2002;35:46.
Younis RT, Anand VK, Childress C. Sinusitis complicated by meningitis: current management. Laryngoscope. 2001;111(8):1338-1342.
Kosiakov SYa, Nosulia EV, Perich B. Otogenic intracranial disorders: topical problems of diagnostics and treatment. Vestnik Otorinolaringologii. 2014;1:64-69. (In Russ.)
Young N, Thomas M. Meningitis in adults: diagnosis and management. Intern Med J. 2018;48(11):1294-1307. https://doi.org/10.1111/imj.14102
Werno AM, Murdoch DR. Medical microbiology: laboratory diagnosis of invasive pneumococcal disease. Clin Infect Dis. 2008;46:926.
Brouwer MC, van de Beek D. Earlier Treatment and Improved Outcome in Adult Bacterial Meningitis Following Guideline Revision Promoting Prompt Lumbar Puncture. Clin Infect Dis. 2015;61(4):664-665. https://doi.org/10.1093/cid/civ328
Thigpen MC, Whitney CG, Messonnier NE, Zell ER, Lynfield R, Hadler JL, et al.; Emerging Infections Programs Network. Bacterial meningitis in the United States, 1998—2007. N Engl J Med. 2011;364:2016. https://doi.org/10.1056/NEJMoa1005384
Brouwer MC, McIntyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. Cochrane Database Syst Rev. 2015;CD004405.
Oates-Whitehead RM, Maconochie I, Baumer H, Stewart ME. Fluid therapy for acute bacterial meningitis. Cochrane Database Syst Rev. 2005;CD004786.
Solovey NV, Karpov IA, Davydov AV, Scherba VV, Danilov DE, et al. Diagnosis treatment and prophylaxis of community-acquired bacterial meningitis: the review of the guidelines of European Society for Clinical Microbiology and Infectious Diseases. Klinicheskaja Mikrobiologija i Antimikrobnaja Himioterapija. 2017;19(2):102-115. (In Russ.)
Ajdukiewicz KM, Cartwright KE, Scarborough M, et al. Glycerol adjuvant therapy in adults with bacterial meningitis in a high HIV seroprevalence setting in Malawi: a double-blind, randomised controlled trial. Lancet Infect Dis. 2011;11:293.
Britt RH, Enzmann DR. Clinical stages of human brain abscesses on serial CT scans after contrast infusion. Computerized tomographic, neuropathological, and clinical correlations. J Neurosurg. 1983;59:972.
Arlotti M, Grossi P, Pea F, Tomei G, Vullo V, De Rosa FG, et al.; GISIG (Gruppo Italiano di Studio sulle Infezioni Gravi) Working Group on Brain Abscesses. Consensus document on controversial issues for the treatment of infections of the central nervous system: bacterial brain abscesses. Int J Infect Dis. 2010;14(suppl 4):79.
Amcheslavskij VG, Shimanskij VN, Shatvorjan BR. Up-to-date therapy for brain abscess. RMJ. 2000;13:533-535. (In Russ.)
Sonneville R, Ruimy R, Benzonana N, Riffaud L, Carsin A, et al.; ESCMID Study Group for Infectious Diseases of the Brain (ESGIB). An update on bacterial brain abscess in immunocompetent patients. Clin Microbiol Infect. 2017;23:614. https://doi.org/10.1016/j.cmi.2017.05.004
Brouwer MC, Coutinho JM, van de Beek D. Clinical characteristics and outcome of brain abscess: systematic review and meta-analysis. Neurology. 2014;82:806. https://doi.org/10.1212/WNL.0000000000000172
Chun CH, Johnson JD, Hofstetter M, Raff MJ. Brain abscess. A study of 45 consecutive cases. Medicine (Baltimore). 1986;65:415.
Seydoux C, Francioli P. Bacterial brain abscesses: factors influencing mortality and sequelae. Clin Infect Dis. 1992;15:394.
Dreval’ ON, Dzhindzhihadze RS, Shaginjan GG, Kuznecov AV, Aleksandrova IA. Klinicheskie rekomendacii po diagnostike i lecheniju abscessov golovnogo mozga, vnutricherepnyh jepidural’nyh i subdural’nyh jempiem. Associacija nejrohirurgov Rossii. M. 2015. (In Russ.)
Chikani MC, Mezue W, Okorie E, Mbachu C, Ndubisi C, Chikani UN. Subdural empyema: Clinical presentations and management options for an uncommon neurosurgical emergency in a developing country. Niger J Clin Pract. 2017;20(10):1221-1225. https://doi.org/10.4103/njcp.njcp_340_16
Leuthardt EC, Wippold FJ 2nd, Oswood MC, Rich KM. Diffusion-weighted MR imaging in the preoperative assessment of brain abscesses. Surg Neurol. 2002;58:395.
Kamra P, Vatsal DK, Husain M, et al. MRI demonstration of unsuspected intraventricular rupture of pyogenic cerebral abscesses in patients being treated for meningitis. Neuroradiology. 2002;44:114.
Al Masalma M, Lonjon M, Richet H, Dufour H, Roche PH, Drancourt M, Raoult D, Fournier PE. Metagenomic analysis of brain abscesses identifies specific bacterial associations. Clin Infect Dis. 2012;54:202. https://doi.org/10.1093/cid/cir797
Meng XH, Feng SY, Chen XL, Li C, Zhang J, Zhou T, et al. Minimally invasive image-guided keyhole aspiration of cerebral abscesses. Int J Clin Exp Med. 2015;8:155.
Neidert MC, Karlin K, Actor B, Regli L, Bozinov O, Burkhardt JK. Preoperative C-reactive protein predicts the need for repeated intracerebral brain abscess drainage. Clin Neurol Neurosurg. 2015;131:26. https://doi.org/10.1016/j.clineuro.2015.01.015
Simjian T, Muskens IS, Lamba N, Yunusa I, Wong K, Veronneau R, et al. Dexamethasone Administration and Mortality in Patients with Brain Abscess: A Systematic Review and Meta-Analysis. World Neurosurg. 2018;115:257-263. https://doi.org/10.1016/j.wneu.2018.04.130
Yanov YuK, Krivopalov AA, Shcherbuk AYu, Rubin AN, Tuzikov NA. Complex approach to the diagnosis and treatment of otorhinosinusogenic pyoinflammatory intracranial complications: state-of-the-art. RMJ. 2016;21:1447-1455. (In Russ.)
Mirza O, Varadarajan V, Youshani AS, Willatt DJ. Escherichia coli positive infratentorial subdural empyema secondary to mastoiditis and underlying cholesteatoma. BMJ Case Rep. 2014;pii: bcr2014204498. https://doi.org/10.1136/bcr-2014-204498

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