Pradhananga Rabindra
Department of ENT-Head & Neck Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Int Arch Otorhinolaryngol. 2014 Oct;18(4):412-4. doi: 10.1055/s-0034-1372511. Epub 2014 May 28.
Introduction Suppurative otitis media is still the most common ear disease in developing countries. Otogenic complications of this disease have decreased considerably because of the advent of antibiotics, and few rare complications have been encountered. Objective To report a case of a patient with scapular abscess and lumber cellulitis that had progressed from Bezold abscess as a complication of squamous-type chronic suppurative otitis media. Resumed Report A 14-year-old girl presented with foul-smelling, purulent, left ear discharge of 1-year duration and decreased hearing on same ear of 6-month duration. She developed painful swelling in left side of neck with restricted neck movement and high-grade fever of 3-day duration and swelling over the left scapular area of 1-day duration. The examination and investigation diagnosed squamous-type chronic suppurative otitis media with Bezold abscess progressing to scapular abscess and lumber cellulitis. Final Comment Chronic suppurative otitis media can lead to abscess in any part of body.
引言 化脓性中耳炎仍是发展中国家最常见的耳部疾病。由于抗生素的出现，该疾病的耳源性并发症已大幅减少，罕见并发症也很少见。目的 报告一例由鳞状型慢性化脓性中耳炎并发症贝佐尔德脓肿发展为肩胛脓肿和腰部蜂窝织炎的病例。病例报告 一名14岁女孩，左耳有恶臭脓性分泌物，持续1年，同一耳听力下降，持续6个月。她左侧颈部出现疼痛性肿胀，颈部活动受限，高热持续3天，左侧肩胛区肿胀持续1天。检查和调查诊断为鳞状型慢性化脓性中耳炎伴贝佐尔德脓肿进展为肩胛脓肿和腰部蜂窝织炎。总结 慢性化脓性中耳炎可导致身体任何部位脓肿。
