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A Unique Case of Bezold's Abscess Associated With Multiple Dural Sinus Thromboses

Authors

  • Philip E. Zapanta MD,

    1. Department of Otolaryngology—Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, U.S.A.
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  • David H. Chi MD,

    1. Department of Otolaryngology—Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, U.S.A.
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  • Russell A. Faust PhD, MD

    Corresponding author
    1. Department of Otolaryngology—Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, U.S.A.
    2. Department of Pediatrics, University of Virginia Health System, Charlottesville, Virginia, U.S.A.
    3. Virginia Children's Airway Center, University of Virginia Health System, Charlottesville, Virginia, U.S.A.
    • Russell A. Faust, PhD, MD, Department of Otolaryngology—Head and Neck Surgery, University of Virginia, Post Office Box 800713, Charlottesville, VA 22908-0713, U.S.A.
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  • Presented at the Meeting of the Southern Section of the American Laryngological, Rhinological and Otological Society, Inc. Marco Island, Florida, January 13, 2001.

Abstract

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.

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