Bezold's abscess

Bezold's abscess
Synonyms	Bezold's mastoiditis
Pronounce	N/A
Specialty	N/A
Symptoms	Neck pain, fever, swelling behind the ear, hearing loss
Complications	Meningitis, brain abscess, sigmoid sinus thrombosis
Onset	Usually after middle ear infection
Duration	Varies
Types	N/A
Causes	Acute mastoiditis
Risks	Chronic otitis media, immunocompromised state
Diagnosis	Clinical examination, CT scan, MRI
Differential diagnosis	Cervical lymphadenitis, parapharyngeal abscess, retropharyngeal abscess
Prevention	N/A
Treatment	Antibiotics, surgical drainage
Medication	Broad-spectrum antibiotics
Prognosis	Good with treatment
Frequency	Rare
Deaths	N/A

Bezold's abscess is a rare, life-threatening complication of otitis media, an infection of the middle ear. It is named after the German physician Friedrich Bezold, who first described the condition in 1881.

Overview

Bezold's abscess is characterized by the spread of infection from the mastoid bone in the ear to the neck. This can lead to the formation of a pus-filled abscess in the neck, which can cause severe pain and swelling. If not treated promptly, Bezold's abscess can lead to serious complications, including sepsis, meningitis, and brain abscess.

Symptoms

The symptoms of Bezold's abscess can vary, but often include:

• Severe ear pain
• Swelling and redness in the neck
• Fever
• Difficulty swallowing
• Hearing loss in the affected ear

Diagnosis

Diagnosis of Bezold's abscess typically involves a physical examination and imaging tests, such as a CT scan or MRI. In some cases, a sample of the abscess may be taken for laboratory testing to identify the type of bacteria causing the infection.

Treatment

Treatment for Bezold's abscess usually involves a combination of antibiotics to fight the infection and surgery to drain the abscess. In severe cases, hospitalization may be required.

Prevention

Prevention of Bezold's abscess primarily involves prompt treatment of ear infections to prevent the spread of infection to the mastoid bone and neck.

See also

• Otitis media
• Mastoiditis
• Abscess