From Otitis Media to Subdural Empyema and Bacterial Meningitis: Rapid Progression of Otogenic Infection

Document Type

Conference Proceeding

Publication Date

10-18-2026

Abstract

A 39-year-old male with no significant past medical history presented with acute altered mental status and was initially found to be COVID-19 positive. Further evaluation revealed right-sided otitis media and mastoiditis on imaging. His clinical course rapidly progressed and was complicated by bacterial meningitis and intracranial extension of infection, resulting in a right-sided subdural empyema. He required urgent multidisciplinary intervention, including a craniotomy for empyema evacuation and a mastoidectomy. This discussion will review the progression of otogenic infections to intracranial complications, emphasizing early recognition and intervention to reduce morbidity and mortality.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA

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