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Age and Ageing Advance Access originally published online on March 26, 2004
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Age and Ageing 2004; 33: 317-319
Age and Ageing Vol. 33 No. 3 © British Geriatrics Society 2004; all rights reserved

Case Report

Aspergillosis of the petrous apex

Philip Rushton1, Tim Battcock2, Anne Denning6, John Herbetko3, Charles Hillier4 and David Nicholas5

1 Elderly Care Department, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK
2 Medicine for the Elderly,
3 Department of Radiology,
4 Department of Neurology,
5 Department of Pathology, Poole Hospital NHS Trust, Longfleet Road, Poole, Dorset BH15 2JB, UK
6 Bournemouth Eye Unit, Royal Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW, UK

Address correspondence to: P. Rushton. Fax: (+44) 1225 825441. Email: philrushton{at}hotmail.com

We present the case of an immunocompetent man who presented with multiple and progressive cranial nerve palsies. The cause was found to be aspergillosis of the petrous bone, arising as a result of chronic fungal otitis media. Despite treatment with local excision and systemic anti-fungal therapy, he died after suffering a subarachnoid haemorrhage. Diagnosis rests upon prompt radiological imaging and the acquisition of tissue for histological examination and culture but cannot be made without awareness of the condition.

Keywords: aspergillosis, petrous apicitis, otitis media, elderly

Received November 4, 2003; accepted in revised form November 8, 2003.


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