Fatal consequences of an ear infection

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Fatal consequences of an ear infection Xenia L Stalpers, MD, Mijke Smink-Bol, MD, Prof Paul E Verweij, MD, Prof Pieter Wesseling, MD, Gert W van Dijk, MD The Lancet Volume 373, Issue 9675, (May 2009) DOI: 10.1016/S0140-6736(09)60699-1 Copyright © 2009 Elsevier Ltd Terms and Conditions

Figure MRI, macroscopy, and microscopy (A) Axial T1-weighted magnetic resonance image with intravenous gadolinium showing high signal intensity of the left mastoid (arrow), without intracranial pathology. (B) Macroscopic view of the anterior side of the brainstem with a focal purulent exudate (arrow). (C) Extensive active and necrotising inflammation in the left os petrosum with dispersed septated and branched hyphae (PAS staining, original magnification ×400). The Lancet 2009 373, DOI: (10.1016/S0140-6736(09)60699-1) Copyright © 2009 Elsevier Ltd Terms and Conditions