Zapanta P E, Chi D H, Faust R A
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia 22908-0713, USA.
Laryngoscope. 2001 Nov;111(11 Pt 1):1944-8. doi: 10.1097/00005537-200111000-00013.
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.
Single case report.
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.
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.
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.
目的/假设：在抗生素时代，贝佐尔德脓肿和硬脑膜窦血栓形成是中耳炎罕见的并发症。尽管有潜在致命性，但它们是可治疗的。我们报告一例独特的贝佐尔德脓肿合并多发性硬脑膜窦血栓形成的病例。
单病例报告。
介绍并讨论一名年轻女性患者的临床病程。我们回顾了贝佐尔德脓肿和硬脑膜窦血栓形成的解剖结构、发病率、发病机制及治疗方法。
经过乳突切除术、颈部探查、广谱静脉抗生素治疗及抗凝治疗后，患者完全康复，在12个月的随访期从医院出院后一直无症状。
这是首例报道的贝佐尔德脓肿合并海绵窦血栓形成的病例，也是第三例报道的贝佐尔德脓肿合并外侧窦血栓形成的病例。尽管贝佐尔德脓肿罕见，但必须认识到并积极治疗。硬脑膜窦血栓形成相对更常见，治疗潜在病因至关重要。对这些病症的诊断及快速、积极治疗对于获得最佳临床结果至关重要。
