Hospital Course
Right mastoidectomy with drainage of Bezold's abscess and evacuation of clot in the sigmoid sinuses was performed first. This was followed by occipital craniectomy for a residual epidural abscess when a postoperative CT revealed the epidural collection.
Right mastoidectomy with drainage of Bezold's abscess and evacuation of clot in the sigmoid sinuses was performed first. This was followed by occipital craniectomy for a residual epidural abscess when a postoperative CT revealed the epidural collection.
The patient tolerated the procedure well. He continued to complain of headache in the immediate postoperative period, but his neck and back pain dramatically improved. His overall condition improved and he was afebrile, awake, and alert.
Anticoagulation and surgical interventions for internal jugular vein thrombosis were not found to be necessary because of the following:
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Cultures obtained during surgery revealed Streptococci viridans. The patient made a full recovery and was discharged on postoperative day 20 with home intravenous (IV) antibiotic therapy to complete a 6-week course.
Medscape Pediatrics. 2003;5(2) © 2003 Medscape
Cite this: Case #7 -- Acute Illness in a Patient With Recurrent Ear Infections - Medscape - Aug 29, 2003.
