This case study highlights the extracranial and intracranial manifestations of severe otomastoiditis. A 35-year-old man presented with numerous symptoms, including ear and neck pain, headache, temporary vision loss, fever, malaise, and nausea and vomiting. Imaging studies led to the diagnosis of coalescent mastoiditis with septic dural sinus thrombosis, venous hemorrhagic infarctions, brain abscesses, and subdural empyema.
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| http://dx.doi.org/10.1080/08998280.2012.11928882 | DOI Listing |
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Bezold's abscess, an uncommon complication of otitis media and cholesteatoma: a case report.
J Med Case Rep
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Department of Internal Medicine, Carilion Clinic, Roanoke, VA, USA.
Background: Mastoiditis frequently occurs in children as they are more susceptible to middle ear infections, but infrequently occurs in adults. A rare complication that results from mastoiditis and an obstructing cholesteatoma is a Bezold's abscess, of which there are less than 100 reported cases in literature to date.
Case Presentation: Here, we present a case of a 72-year-old Caucasian man who has had no history of prior ear infections and was found to have a cholesteatoma and advanced acute coalescent mastoiditis complicated by a Bezold's abscess.
Clarifying the Diagnosis and Management of Acute Uncomplicated Pediatric Mastoiditis.
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Department of Surgery, Division of Otolaryngology Head and Neck Surgery, University of New Mexico, Albuquerque, NM, USA.
Introduction: Acute pediatric mastoiditis is a bacterial infection of the mastoid bone most commonly associated with acute otitis media. Complicated mastoiditis is traditionally characterized by intracranial complications or subperiosteal abscess, but definitions are inconsistent in the literature. Surgical intervention is identified as the main treatment for complicated mastoiditis, but there is some evidence to support medical management of uncomplicated mastoiditis.
View Article and Find Full Text PDFEvolving microbial patterns of acute mastoiditis in pediatric patients undergoing mastoidectomy.
Int J Pediatr Otorhinolaryngol
September 2023
Indiana University School of Medicine, Indianapolis, IN, USA; Indiana University Department of Otolaryngology-Head and Neck Surgery, Indianapolis, IN, USA; Eskenazi Health Ear, Nose, and Throat and Audiology, Indianapolis, IN, USA. Electronic address: http://sburgin.iupui.edu.
Article Synopsis
- The study aimed to analyze the microbial patterns and outcomes of pediatric patients who underwent mastoidectomy for acute coalescent mastoiditis, focusing on factors linked to poor outcomes.
- Researchers examined 46 patients from a large hospital database, noting that S. pyogenes and S. pneumoniae were the most common bacteria found, while a significant portion of cultures showed no growth.
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