IT IS A fact that chronic infections about the ears and nasal sinuses have not been as amenable to sulfonamide drugs and antibiotics as have acute infections in these areas. It is, therefore, not surprising that not too rarely an otolaryngologist is confronted with intracranial complications due to such infections. Resistance to the biochemicals is occasionally encountered even in fulminating acute infections which find their way into the cranial cavity.
A patient afflicted with such intracranial invasions first has difficulties referable to the ear or nose. He may have a recurring discharge with some local pain about the ear or a severe rhinitis with reactivation of an old sinus infection. An otolaryngologist is first consulted, and it clear that he is duty-bound to be alert to and acquainted with the possibilities and characteristics of these invasions. Consultation with a neurosurgeon or even a neurologist is not considered until definite intracranial
SHUSTER BH. BRAIN ABSCESS—OTOGENIC AND RHINOGENIC. AMA Arch Otolaryngol. 1952;56(2):114–120. doi:10.1001/archotol.1952.00710020133002
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: