When to Think of Zebras

• Published in: The American journal of medicine Vol. 122; no. 5; pp. 424 - 426
• Main Authors: Ho, Roger S., MS, Kohli, Rahul M., MD, PhD, Maragakis, Lisa L., MD, MPH
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2009; Elsevier; Elsevier Sequoia S.A
• Subjects: Adult; Anti-Bacterial Agents - therapeutic use; Biological and medical sciences; Brain Abscess - diagnosis; Brain Abscess - etiology; Brain Abscess - therapy; Chronic Disease; Diagnostic tests; Disease management; Drainage - methods; Ear diseases; Follow-Up Studies; General aspects; Humans; Internal Medicine; Magnetic Resonance Imaging; Male; Medical diagnosis; Medical sciences; NMR; Nuclear magnetic resonance; Otitis Externa - complications; Otitis Externa - diagnosis; Otitis Externa - therapy; Otitis Media, Suppurative - complications; Otitis Media, Suppurative - diagnosis; Otitis Media, Suppurative - therapy; Pseudomonas aeruginosa - isolation & purification; Pseudomonas Infections - diagnosis; Pseudomonas Infections - etiology; Pseudomonas Infections - therapy; Temporal Lobe; Medicine; Vertebrata; Mammalia; Perissodactyla; Zebra; Ungulata

Ho et al present a case study where in a 44-year-old man whose chronic otitis eventually evoked throughts of zebras. Magnetic resonance imaging (MRI) revealed a 1-cm rim-enhancing fluid collection at the right petrous apex with associated dural enhancement. Suspecting malignant otitis externa, the o...