Suppurative Labyrinthitis

Suppurative (purulent or suppurative) labyrinthitis is a bacterial inner ear infection that often leads to numbness and loss of balance function.

Purulent labyrinthitis usually develops in the course of acute otitis media, purulent meningitis, trauma that causes a labyrinthine fracture with subsequent infection, or a growing cholesteatoma, when the bacteria to spread into the inner ear.

Suppurative (purulent or suppurative) labyrinthitis is a bacterial inner ear infection that often leads to numbness and loss of balance function. Purulent labyrinthitis usually develops in the course of acute otitis media, purulent meningitis, trauma that causes a labyrinthine fracture with subsequent infection, or a growing cholesteatoma, when the bacteria to spread into the inner ear. Symptoms and signs The symptoms of purulent inflammation of the inner ear include Heavy vertigo and nystagmus nausea and vomiting tinnitus Different degrees of severity of hearing loss. it is often pain and fever. Diagnosis temporal bone CT may MRT symptoms such as dizziness, nystagmus, sensorineural hearing loss, or a combination in acute otitis media are suggestive of suppurative labyrinthitis. By a CT examination of the temporal area is bony erosions of the otic capsule and other complications of acute otitis media (z. B. einschmelzende mastoiditis) can be observed. In meningitis or brain abscess symptoms (consciousness, meningism or high fever) may be indicated an MRI; in the case of a lumbar puncture is performed to apply a blood culture. Iv therapy Antibiotics myringotomy Sometimes tympanostomy The sessions are held with meningitis effective antibiotics (eg. As ceftriaxone, 1 times 50 to 100 mg / kg iv to a maximum of 2 g / day) ceftazidime often replaced ceftriaxone in nosocomial infections to cover P. aeruginosa. The antibiotics can be adjusted later according to the results of culture and sensitivity testing. For the derivation of the pus from the middle ear a myringotomy is carried out (sometimes with insert of a ventilation tube). Under certain circumstances, a mastoidectomy is required.

Health Life Media Team

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