Otogenic meningitis and meningoencephalitis, their combinatorics and risks

Rondaleva Alexandra Vladimirovna

from 2009 to 2018, 31 patients with otogenic purulent meningitis (OGM) and meningoencephalitis (ogme) were observed in the ENT Department of the SBU RO "OKB named after N. A. Semashko", which amounted to 2.96±0.12% of 1047 treated patients with acute purulent otitis media (OGSO) and exacerbation of chronic purulent otitis media (OHGSO). In 71% of cases, intracranial complications (VCHO) developed as a result of (OGSO). In 9 patients, oghm and oghme occurred in combination with sigmoid sinus thrombophlebitis (4 cases), epidural pus accumulation (7 cases), and temporal lobe abscess (2 cases). Sepsis was diagnosed in 22 (71.0±8.1 %) of 31 patients with OGM and ogme, which developed significantly more often in OGS than in OHGSO (p ≤ 0.05). The combination of OGSO-ogme on the background of diabetes can be considered as one of the additional predictors of sepsis with a probability of death. The total mortality rate was 35.5±8.6 % (11 deaths). In 10 patients, the cause of death was severe sepsis with multiple organ failure and brain edema, in 1 – tel.

Keywords:acute and chronic purulent otitis media; otogenic purulent meningitis and meningoencephalitis; predictors of sepsis and lethality.