and gradenigo's syndrome with anaerobic bacteria.
In summary, this paper presents an extremely rare case of a patient with complicated COM who developed mastoiditis
, Bezold abscess, lateral sinus thrombophlebitis, meningitis, and paraspinal abscess at the same time.
Improper use of antibiotics can mask the signs of otitis media and results in masked mastoiditis
, which can also be responsible for the misdiagnosis of zygomatic root abscess.
In the etiology, mastoiditis
was found in three patients, mastoiditis
and meningitis were found in one patient, Behcet's disease was found in three patients and head trauma was found in one patient.
10] Manifestations of LCH may be confused with more common disorders such as chronic suppurative otitis media and acute mastoiditis
, which are not responsive to medical therapy,  thereby delaying the diagnosis, as observed in our case.
Extensive calvarial tuberculosis: rare complication of tuberculous mastoiditis
2-9 In our patient, mastoiditis
and facial nerve involvement were present as infratemporal complications of acute OM.
Condiciones predisponentes para el desarrollo de abscesos cerebrales (Goldman, 2011) Otogenicas Otitis media Mastoiditis
Dentales Cardiacas Fistula arteriovenosa pulmonar Tetralogia de Fallot Persisntencia de agujero oval Endocarditis infecciosa Pulmonares Fistula arteriovenosa pulmonar Infeccion pulmonar Absceso pulmonar Bronquiectasias Estrechez esofagica Infarto y tumor cerebral Trauma cerebral penetrante y no penetrante Procedimiento Postoperatorio de neurocirugia Sepsis Inmunosupresion Mecanismos desconocidos Tabla 2.
Abbreviations RTIs --respiratory tract infections WHO --World Health Organization ICD --International Classification of Diseases ATC --anatomical therapeutic chemical DDD --defined daily dose DID --defined daily doses per 1000 inhabitants per day INN --international non-property name H65-H75 --acute otitis media, mastoiditis
J01 --acute sinusitis J02-J03 --tonsillopharyngitis J32 --chronic sinusitis J12-J18 --mild to moderate community-acquired pneumonia J20 --acute bronchitis J42 --chronic bronchitis
In September 2013, a facial computerized tomography (CT) examination was performed revealing frontal and maxillary sinusitis and left mastoiditis
This study supports the hypothesis that delayed treatment doesn't increase the risk of developing severe mastoiditis
or its complications.
We present a case of disseminated blastomycosis presenting as mastoiditis
with epidural abscess.