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A Unique Case of Bezold's Abscess Associated With Multiple Dural Sinus Thromboses
Author(s) -
Zapanta Philip E.,
Chi David H.,
Faust Russell A.
Publication year - 2001
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200111000-00013
Subject(s) - medicine , abscess , surgery , thrombosis , sinus (botany) , mastoiditis , mastoidectomy , asymptomatic , cholesteatoma , radiology , otitis , botany , biology , genus
Objectives/Hypothesis Bezold's abscess and dural sinus thromboses are rare complications of otitis media in the era of antibiotics. Although potentially fatal, they are treatable. We present a unique case report of Bezold's abscess in association with multiple dural sinus thromboses. Study Design Single case report. Methods A young female patient's clinical course is presented and discussed. We review the anatomy, incidence, pathogenesis, and treatment of Bezold's abscess and dural sinus thrombosis. Results After mastoidectomy, neck exploration, broad‐spectrum intravenous antibiotics, and anticoagulation therapy, the patient recovered fully and has remained asymptomatic since her discharge from the hospital at 12 months' follow‐up. Conclusions This is the first reported case of Bezold's abscess associated with a cavernous sinus thrombosis and the third reported case of Bezold's abscess associated with lateral sinus thrombosis. Despite its rarity, Bezold's abscess must be recognized and treated aggressively. Dural sinus thrombosis is relatively more common, and treatment of the underlying cause is essential. The diagnosis and rapid, aggressive treatment of these conditions are essential for an optimal clinical outcome.