The first signs of infection are:
As the infection spreads into the bone, symptoms can include:
If the infection affects the nerves that control movement in the face, facial paralysis or weakness may occur. Should the infection spread to the inner ear, hearing loss and dizziness may result. The infection can even spread to the brain, which may lead to meningitis. This is an infection of the membrane covering the brain and spinal cord. The brain material itself may also become infected.