Uncommon Find: An Unusual 10 cm Bezold's Abscess Involving Dural and Mastoid Erosion

Bezold's abscess (BA) is a rare complication of otitis media that presents as a lateral neck abscess below the mastoid tip. BA incidence has recently decreased due to early diagnosis and prompt antibiotic intervention. We present a 42-year-old male with a complicated otitis media developing a 1...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-12, Vol.15 (12), p.e51298
Main Authors: Cruz Rodriguez, Jerry, Melero Pardo, Ana L, Castellanos Castillo, Isabel, Ríos de Choudens, Camila S, Rivera, Miguel
Format: Article
Language:English
Subjects:
Abscesses
Antibiotics
Blood
Case reports
Debridement
Ear diseases
Emergency medical care
Hemoglobin
Infectious Disease
Leukocytes
Medical imaging
Neck
Neutrophils
Otolaryngology
Pain
Patients
Sinuses
Soil erosion
Streptococcus infections
Thrombosis
Veins & arteries
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Summary:Bezold's abscess (BA) is a rare complication of otitis media that presents as a lateral neck abscess below the mastoid tip. BA incidence has recently decreased due to early diagnosis and prompt antibiotic intervention. We present a 42-year-old male with a complicated otitis media developing a 10 cm BA. Treatment of the lesion included surgical drainage and mastoidectomy, accompanied by intravenous (IV) broad-spectrum antibiotic administration. The patient experienced no adverse events during or after surgery and was placed on postoperative observation. However, on postoperative day (POD) 2, the patient left the hospital against medical advice and did not undergo further follow-up.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.51298