A 52-year-old Japanese man with a history of type 2 diabetes mellitus (DM) presented with mild dizziness. On admission, the physical examination only revealed tachycardia and right sided cervical lymphadenopathy. On the fifth day of admission, his mental status slightly worsened. Urgent Computed Tomography (CT) of the head and neck revealed multiple abscesses spreading from the right temporal bone to the right sternocleidomastoid muscle. Bezold's abscess was diagnosed. was isolated from middle ear fluid and blood cultures. Bezold's abscess has rarely been described in the era of antimicrobial therapy. However this abscess can still occur in patients without any typical severe symptoms. Repeated history taking and thorough physical examination can help detect Bezold's abscess.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010929PMC
http://dx.doi.org/10.1016/j.idcr.2017.04.006DOI Listing

Publication Analysis

Top Keywords

bezold's abscess
16
physical examination
8
bezold's
4
abscess diabetic
4
diabetic patient
4
patient clinical
4
clinical symptoms
4
symptoms 52-year-old
4
52-year-old japanese
4
japanese man
4

Similar Publications

Objective: This study aims to present a case of temporal bone (TBP) paraganglioma with an insidious clinical presentation, deviating significantly from the typical hearing loss and pulsatile tinnitus pattern.

Methods: A 70-year-old lady presented to the emergency department with a five-day history of right progressive later cervical swelling extending to the mastoid region and chronic worsening purulent otorrhea. The clinical and radiological findings confirmed the presence of a chronic middle ear process complicated by a Bezold abscess.

View Article and Find Full Text PDF

Tuberculous Otomastoiditis: A Diagnostic Dilemma.

Cureus

October 2024

Otolaryngology - Head and Neck Surgery, Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia, Kuantan, MYS.

Where tuberculous (TB) infection is prevalent, the diagnosis of TB otomastoiditis (TOM) should be considered in a chronically discharging ear that does not respond to standard medical treatment. We are reporting a case of TB otomastoiditis with an adjacent deep neck abscess in a healthy 18-year-old male. He presented with a five five-month history of right otorrhea with hearing loss and a concurrent right level two neck swelling, without any signs of acute infection.

View Article and Find Full Text PDF

Introduction: Bezold's abscess is a rare complication of chronic suppurative otitis media since the advent of antibiotics. Otitis media can also result from uncommon infections such as tuberculosis, with a diagnosis often delayed due to clinical symptoms that closely resemble other chronic middle ear conditions.

Case Report: We present a case of Bezold's abscess as a complication of primary tuberculous otitis media in a 21-year-old male who reported right-sided neck swelling for four days, accompanied by fever, difficulty opening his mouth, and a history of persistent purulent discharge in both ears for six months that did not respond to topical antibiotics.

View Article and Find Full Text PDF

Bezold Abscess in a Case of Eosinophilic Otitis Media.

Clin Pract Cases Emerg Med

August 2024

Kurashiki Central Hospital, Department of Otolaryngology, Kurashiki city, Okayama, Japan.

Case Presentation: A 57-year-old man with a history of bronchial asthma and eosinophilic sinusitis presented to the emergency department with an exacerbation of otitis media. His primary complaints were otopyorrhea, headache, and neck pain with redness. Contrast-enhanced computed tomography revealed a posterior neck abscess contiguous with the mastoid process.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!