Diagnosis of Bezold Abscess Using Bedside Ultrasound

Secko, Michael; Aherne, Andrew

doi:10.1016/j.jemermed.2012.07.066

Cited by 13 publications

(6 citation statements)

References 5 publications

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“…Of manuscripts written in non-English language, three had no abstracts available, and five provided abstracts with insufficient data regarding baseline demographics, clinical presentation, and management. Finally, 45 studies were included in this systematic review, with 49 patients being pulled from case reports or series (1,3,8–50).…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Cases with Bezold’s Abscess

et al. 2022

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ObjectiveThe objective for this systematic review is to characterize clinical presentations of Bezold’s abscesses to improve awareness and promote earlier diagnoses and prompt intervention in this increasingly rare otologic infection.Data sourcesPubmed/Medline, CINAHL (EBSCOhost), and Web of Science articles in all languages were searched.Study selectionInclusion criteria were that the article was either a case report, case series, or retrospective review with individual case data available. Non-English articles were excluded if they lacked an English language abstract and if that abstract lacked information on baseline demographics, clinical presentation, and management.Data extractionIncluded studies were evaluated using fulltext review and demographics, etiology, microbiology, antibiotic usage, and surgical variables were collected.Data synthesisData were qualitatively synthesized, with means and averages obtained for all continuous variables.ConclusionsBezold’s abscess remains a rare otologic infection, but they are relatively commonly associated with serious neurologic and systemic complications. Delay in diagnosis was a frequent commonality and diagnostic vigilance is tantamount in avoiding this sequelae. Aggressive surgical extirpation and long-term antibiotic treatment is recommended.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review of Cases with Bezold’s Abscess

et al. 2022

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“…Because of the rarity of this condition, the key to its diagnosis is to be alert, and it is reasonable to perform a neck CT scan in patients with neck pain and local tenderness over the mastoid process. Ultrasound may also help to differentiate lymphadenopathy from abscess in the soft tissue of the neck (6).…”

Section: Discussionmentioning

confidence: 99%

Physical Examination still has the Leading Role: A Case of Bezold's Abscess

Saeedi¹,

Jahanshir²,

Shirani³

et al. 2016

JAEMCR

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Introduction: Although Bezold' s abscess is rarely seen as a complication of acute otitis media and mastoiditis in the antibiotic era, the number of reported cases has increased in the last 2 decades. Case Report: In this case report, we present a young man with a large Bezold' s abscess, which extended to his lower chest after 2 weeks of misdiagnosis. He underwent surgical treatment along with antibiotic therapy. He was discharged home after 2 weeks in a good condition. Conclusion: We emphasize on the role of having a high index of suspicion for Bezold's abscess and performing a detailed physical examination in patients with signs and symptoms of acute otitis media and mastoiditis. It is better to have a low threshold for obtaining a computed tomography scan in these patients and diagnose the early stages of this potentially fatal condition.

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“…Aherne [19] CT Edema of the maxillary, sphenoid, and mastoid air cells consistent with sinusitis. CT of the neck at the level of the mandible demonstrated a small hypodense lesion in the area of the sternocleidomastoid muscle consistent with abscess.…”

Section: Secko Andmentioning

confidence: 95%

Bezold’s Abscess: A Case Report and Review of Cases Over 20 Years

Alkhaldi¹,

Alwabili²,

Albilasi³

et al. 2022

Cureus

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Bezold's abscess (BA) is a severe and rare extracranial complication of suppurative acute mastoiditis. The diagnosis of BA requires a high index of suspicion due to its rarity. In this study, we present a rare case of BA, in addition to a review of literature over 20 years. We searched for all cases in English literature from 2000 to 2020 in PubMed and found 27 cases (28 cases including the current case). BA was more prevalent in males (17/28, 60.7%) and adults (17/28, 60.7%). Of the 28 cases, six were associated with cholesteatoma and another six cases occurred with concomitant sinus thrombosis.

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Diagnosis of Bezold Abscess Using Bedside Ultrasound

Cited by 13 publications

References 5 publications

A Systematic Review of Cases with Bezold’s Abscess

A Systematic Review of Cases with Bezold’s Abscess

Physical Examination still has the Leading Role: A Case of Bezold's Abscess

Bezold’s Abscess: A Case Report and Review of Cases Over 20 Years

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