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Emergency Medicine International
Volume 2011, Article ID 947327, 3 pages
Case Report

Skull Base Osteomyelitis in the Emergency Department: A Case Report

1Department of Emergency Medicine, Faculty of Medicine, Trakya University, Edirne 22030, Turkey
2Department of Emergency Medicine, Faculty of Medicine, Harran University, Sanliurfa 63000, Turkey

Received 8 December 2010; Revised 28 February 2011; Accepted 27 March 2011

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2011 Mustafa Burak Sayhan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Skull base osteomyelitis (SBO) is a rare clinical presentation and usually occurs as a complication of trauma or sinusitis. A 5-year-old child presented to the emergency department with a three-week history of fever associated with drowsiness and left parietal headache, and a week's history of swelling on the left frontoparietal soft tissue. He had suffered a penetrating scalp injury four month ago. On physical examination, there was a tender swelling with purulent stream on the lateral half of his scalp. His vital signs are within normal limits. Plain X-ray of the skull showed a lytic lesion on the left frontoparietal bone. A cranial computed tomography (CT) scan demonstrated a large subgaleal abscess at the left frontoparietal region. SBO possesses a high morbidity and mortality; therefore, prompt diagnosis and appropriate treatment are mandatory to prevent further complications and to reduce morbidity and mortality significantly.