Recurrent @entity328 23  XXXX due to cerebrospinal fluid leakage from the ear cannel: a case report.

@entity1 @entity1244 @entity50 @entity4008 @entity2103 @entity693 @entity328 @entity130
BACKGROUND: @entity4008 is a medical emergency, and immediate diagnostic steps must be taken to establish the specific cause. Recurrence of @entity4008 in @entity1 is not only potentially life-threatening, but also involves or induces @entity130 to the @entity1 through repeated hospitalization with many invasive investigations. CASE PRESENTATION: A 6-year-old @entity1 was diagnosed with recurrent @entity4008 caused by @entity328 Pneumonia 23  F. He had received serial imaging studies for identifying the cause. The initial sinus computed tomography (CT) also showed @entity1244 without @entity50 . However, after performing nuclear scan, the results showed cerebrospinal fluid (CSF) leaked originating from the right petrooccpital region into the middle ear. Subsequent high resolution CT (HRCT) reports showed focal @entity2103 at geniculate ganglion and tympanic segment with tiny high-density spots. The reconstruction HRCT showed multiple bony defects at temporal bone. The magnetic resonance imaging revealed multifocal bony destruction with CSF collection in the right petrous ridge, carotid canal and jugular foramen. Eventually, CSF leakage to the right middle ear was confirmed and this could be the cause of the recurrent bacteria @entity693 in this @entity1 . CONCLUSION: Although recurrent @entity4008 in childhood is not common, this case report illustrates that recurrence of @entity693 within a short period should be considered as cause of underline immunologic or anatomic defect.
