OBJECTIVES: To report the case of a @entity1 who in the follow-up of a @entity11283 presented a fulminant @entity693 . CLINICAL CASE: 38 year old @entity1 sportsman who presented a @entity11283 during scuba diving. In spite of a treatment associating steroids and nasal vasoconstrictor this @entity2346 persisted. Five weeks after the initial episode the @entity1 went back to the clinics in emergency complaining of intense @entity10 for a few hours with impression of faintness without @entity221 . The state of consciousness of the @entity1 then degraded quickly during the conversation. Into the 15 minutes time, the @entity1 slipped of a stuporous state to @entity772 . Hospitalized in emergency in intensive care unit, the diagnosis of an @entity693 with @entity328 was made. The @entity1 cured without sequelae. CONCLUSION: An inadequate treatment accompanied by a favorable anatomical factor facilitated the diffusion of the bacterial invasive process of the ear drum through the osseous barrier until the dura mater. A @entity11283 which persists can cause serious complications. An antibiotic must be prescripted starting from stage III, i.e. when there is retrotympanic effusion. In front of a behavioral problem during an @entity2346 , it is necessary to always think of the intracranial complications and not to delay the anti-infectious treatment which must be started as soon as possible. To obtain a complete cure without sequelae, it seems that the adapted anti-infectious treatment must be instaured within a time below 10 hours.

[From XXXX to a fulminant @entity693 ].

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity772 :: ('MESH:D003128', 'Disease') :: ['coma'] @entity693 :: ('MESH:D008581', 'Disease') :: ['otogenic meningitis', 'meningitis'] @entity328 :: ('1313', 'Species') :: ['Streptococcus pneumoniae'] @entity10 :: ('MESH:D006261', 'Disease') :: ['cephalgia'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever'] @entity2346 :: ('MESH:D010031', 'Disease') :: ['otitis'] @entity11283 :: ('MESH:D001469', 'Disease') :: ['barotrauma otitis', 'banal barotrauma otitis']
@entity11283 :: (MESH:D001469,Disease) :: ['barotrauma otitis']
