Bezold abscess

Discussion:

Although the typical teaching for Bezold abscesses is that they are clinically occult due to being obscured by the sternocleidomastoid muscle, this was clinically and radiologically easily evident.

Erosions of the mastoid should be carefully assessed for any neck soft tissue and / or intracranial extension. The presence of a bone sequestrum here (and on follow up imaging) supports a diagnosis of a skull base osteomyelitis further complicating this acute otomastoiditis / Bezold abscess.

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