Mastoiditis and Tegmen Tympani Defect Leading to Intracranial Abscess with Actinomyces odontolyticus

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Very good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Very good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Excellent

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very good

Comments: The case description is adequate. The Discussion section covers the rare clinical complications associated with cerebral abscess caused by Actinomyces odontolyticus. It elaborates on the rationale behind the importance of surgical interventions with long-term adjunctive therapy in the treatment of such rare invasive infection. This study also utilizes the literature relevant to this topic. The Conclusion section summarizes from the report that a combined surgical approach with neurosurgery and otolaryngology along with antibiotic therapy is required for the treatment of invasive actinomycosis.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very good

Writing style

Q: Is it clear and understandable?

A: Good

Comments:

·       The 3^rd sentence of the 2^nd paragraph of the Diagnostic Tests should be rephrased as “There was no growth in blood cultures.”

·       In the 3^rd sentence of the 2^nd paragraph of the Postoperative Course, the sentences are fragmented and do not make sense. Hence, the sentences should be separated and rephrased.

·       Words like “otolaryngology’, ‘enhancement” are misspelled in the text section of the manuscript.

Further comments on the paper

Comments: This case report describes a case of a 60-year-old immunocompetent male presented with cognitive impairment and speech difficulties along with receptive aphasia. Radiographic findings identified the location of temporal lobe abscess associated with Actinomyces odontolyticus. This case demonstrates the successful use of surgical intervention such as neurosurgery, otolaryngology, mastoidectomy followed by antibiotic and anticonvulsant therapy for drainage of the abscess, repair of the middle fossa defect and any source of infection which result in improvement in speech and cognition. This study suggests that a multidisciplinary approach is required to treat such rare cases.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team