Atypical presentation of Bezold's and Citelli's abscesses, with recollection following an incomplete postoperative course of antibiotics
| Autor: | Sadik Quoraishi, Jayan George, Amir Farboud, Conor Marnane |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Mastoiditis Otorhinolaryngologic Surgical Procedures medicine.drug_class medicine.medical_treatment Antibiotics Article Mastoid Medication Adherence Myringotomy Recurrence medicine Humans Abscess Postoperative Care business.industry General Medicine medicine.disease Curettage Surgery Anti-Bacterial Agents Eastern european Otitis Media Otitis medicine.symptom business Tomography X-Ray Computed |
| Popis: | Bezold's and Citelli's abscesses are rare complications of otitis media. We present a case of a 44-year-old Eastern European man, with a history of recurrent otitis media, who was admitted to hospital with mastoiditis and initially treated with antibiotics. Despite clinical improvement, a CT scan showed mastoiditis with Bezold's and Citelli's abscesses. The patient underwent a myringotomy and grommet insertion, in addition to a cortical mastoidectomy and curettage of the neck abscesses. After a good recovery, he was discharged home. However, likely due to the language barrier, he did not complete a course of antibiotics as prescribed, and the abscess re-collected, necessitating a re-admission and re-operation. This report illustrates the importance of considering rare features of a common disease in the differential, and of communication in ensuring compliance. |
| Databáze: | OpenAIRE |
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