Quoraishi Sadik, George Jayan, Farboud Amir, Marnane Conor
Department of Head and Neck Directorate, University Hospital of Wales, Cardiff, UK.
Singleton Hospital, Swansea, UK.
BMJ Case Rep. 2017 Jan 17;2017:bcr2016218072. doi: 10.1136/bcr-2016-218072.
Bezold's and Citelli's abscesses are rare complications of otitis media. We present a case of a 44-year-old Eastern European man, with a history of recurrent otitis media, who was admitted to hospital with mastoiditis and initially treated with antibiotics. Despite clinical improvement, a CT scan showed mastoiditis with Bezold's and Citelli's abscesses. The patient underwent a myringotomy and grommet insertion, in addition to a cortical mastoidectomy and curettage of the neck abscesses. After a good recovery, he was discharged home. However, likely due to the language barrier, he did not complete a course of antibiotics as prescribed, and the abscess re-collected, necessitating a re-admission and re-operation. This report illustrates the importance of considering rare features of a common disease in the differential, and of communication in ensuring compliance.
贝佐尔德脓肿和西泰利脓肿是中耳炎罕见的并发症。我们报告一例44岁的东欧男性病例，该患者有复发性中耳炎病史，因乳突炎入院，最初接受抗生素治疗。尽管临床症状有所改善，但CT扫描显示存在伴有贝佐尔德脓肿和西泰利脓肿的乳突炎。该患者除接受了皮质乳突切除术和颈部脓肿刮除术外，还进行了鼓膜切开术并插入了通气管。在恢复良好后，他出院回家。然而，可能由于语言障碍，他未按医嘱完成抗生素疗程，脓肿复发，需要再次入院并再次手术。本报告说明了在鉴别诊断中考虑常见疾病罕见特征的重要性，以及沟通对于确保依从性的重要性。
