Cureus · 2024
A Typical Bezold Abscess With an Atypical Aetiology.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kiakou Maria, Dimitriadi Anastasia, Tsagkovits Aikaterini
Аннотация
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.
RESULTS: The patient underwent a right-modified radical mastoidectomy with multiple biopsies and drainage of the neck abscess. The histology revealed a temporal bone paraganglioma with the classic Zellballen pattern and characteristic immunohistochemistry. The patient denied any further intervention.
CONCLUSION: This is the first case of an isolated jugulotympanic paraganglioma presenting as a Bezold abscess. Meticulous intraoperative biopsies and a high grade of suspicion of an underlying pathology are of supreme importance for the diagnosis of these rare entities.
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.
RESULTS: The patient underwent a right-modified radical mastoidectomy with multiple biopsies and drainage of the neck abscess. The histology revealed a temporal bone paraganglioma with the classic Zellballen pattern and characteristic immunohistochemistry. The patient denied any further intervention.
CONCLUSION: This is the first case of an isolated jugulotympanic paraganglioma presenting as a Bezold abscess. Meticulous intraoperative biopsies and a high grade of suspicion of an underlying pathology are of supreme importance for the diagnosis of these rare entities.