scholarly journals Otogenic Anterior Chest Wall Abscess: A Rare and Unique Presentation of Bezold's Abscess

2011 ◽  
Vol 3 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Arti Agrawal ◽  
Hitendra Prakash Singh ◽  
Dharmendra Kumar

ABSTRACT In the era of antibiotics, deep neck abscess is a rare complication of acute mastoiditis. Bezold's abscess, the most common cause of the otogenic deep neck abscess in preantibiotic era, is a rare complication of mastoiditis nowadays and it should be considered in the differential diagnosis of neck abscesses as well as unexplained intracranial/extracranial or upper thoracic abscesses. We report a case of 20-year old female with an abscess over anterior chest wall as a sequele of bezold's abscess which was a complication of cholesteatoma with mastoiditis.

2009 ◽  
Vol 13 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Alper Gözübüyük ◽  
Berkant Özpolat ◽  
Sedat Gürkök ◽  
Hasan Çaylak ◽  
Orhan Yücel ◽  
...  

Objective: Tuberculosis remains one of the most fatal diseases in the world. Extrapulmonary tuberculosis increases in parallel fashion with the rise of incidence of pulmonary tuberculosis. Tuberculosis of the chest wall is rare. Methods: Our study retrospectively evaluated 10 patients with tuberculosis of the chest wall who were treated with surgery in addition to antituberculous chemotherapy in the last 8 years. Seven of the lesions were located on the anterior chest wall, and three of the lesions were on the lateral chest wall. Results: Surgical therapy consisted of evacuation of the cold abscess material from the cavities and wide débridement of the soft tissue planes in all patients. Partial rib resections were performed in six patients owing to costal or chondral involvement. Conclusions: Chest wall tuberculosis must be considered in the differential diagnosis of chest wall lesions, especially in endemic areas.


2019 ◽  
Vol 29 (2) ◽  
pp. 27-30
Author(s):  
Sheldon. C. Yao

Abstract Chest pain is an emergent presentation associated with a wide differential diagnosis including cardiac, pulmonary, gastrointestinal, and musculoskeletal origins. The evaluation of acute chest pain can be costly and can be a financial burden on the health care system. Integrating osteopathic diagnosis and treatment can assist with identifying and alleviating potential musculoskeletal sources of pain. This case illustrates how applying osteopathic manipulative medicine (OMM) benefited a 61-year-old woman presenting with anterior chest wall pain. Patient response to OMM can assist physicians with better managing acute chest wall pain syndromes. Improved musculoskeletal education can potentially improve medical management of chest pain of musculoskeletal origin.


2021 ◽  
pp. 014556132098836
Author(s):  
Antonio Gilardi ◽  
Andrea Ciofalo ◽  
Andrea Colizza ◽  
Roger Altomari ◽  
Marco de Vincentiis

Schwannomas are neurogenic benign tumors originating from the myelin sheath of peripheral nerves, and hypoglossal Schwannomas account for 5% of nonvestibular ones. Extracranial localizations are substantially rare, especially those affecting exclusively the parapharyngeal space; for this reason, the retrostyloid neoformations could initially masquerade as a carotid tumor or deep organized neck abscess. The purpose of this report is to highlight the importance of a multidisciplinary approach in the correct management of differential diagnosis.


2020 ◽  
Vol 16 (2) ◽  
pp. 98-101
Author(s):  
Dong Seok Shin ◽  
Min Hyub Choi ◽  
Woo Young Choi ◽  
Ji Seon Cheon ◽  
Kyung Min Son

The bacillus Calmette-Guérin (BCG) vaccine is a safe live vaccine mainly administered to infants to prevent tuberculosis; complications rarely occur after administration of the BCG vaccine. Herein, we report the case of an infant who developed a rare complication of a tuberculous abscess in the chest wall and osteomyelitis in the ribs after administration of the BCG vaccine at 1 month of age. An 11-month-old male infant was admitted to the hospital due to a palpable mass in the right anterolateral chest area detected about a month before hospitalization, with no tenderness, erythema, or lymphadenopathy. After thoracic computed tomography and ultrasonography, the cause of the abscess was suspected to be mycobacterial infection and the abscess was removed under general anesthesia. Chronic granulomatous inflammation with caseous necrosis was detected through a biopsy, and polymerase chain reaction was performed and <i>Mycobacterium tuberculosis</i> complex was detected. However, staining for acid-fast bacteria and microbiological cultures were negative. Based on these results, the patient was diagnosed with a tuberculous abscess and osteomyelitis in the chest wall owing to administration of the BCG vaccine. After being medicated with isoniazid and rifampicin for 6 months, the patient was successfully treated.


1991 ◽  
Vol 105 (9) ◽  
pp. 765-766 ◽  
Author(s):  
R. J. Gaffney ◽  
T. P. O'Dwyer ◽  
A. J. Maguire

AbstractSince the introduction of antibiotics for the treatment of suppurative otitis media the incidence of complications from this disease has been greatly diminished. Acute mastoiditis, resulting in the deep neck abscess known as Bezold's abscess, has become very rare. A case of Bezold's abscess is presented with special reference to the clinical presentation and pathogenesis of this now uncommon condition. The variations in the routes of spread of the abscess in the fascial planes of the neck are described in detail. The difference between what is known today as a Bezold's abscess and the abscess that Bezold described in the early part of this century are presented.


2003 ◽  
Vol 46 (2) ◽  
pp. 142-143 ◽  
Author(s):  
S.K. Gupta ◽  
S. BarrosD'sa ◽  
P.D. Evans ◽  
D.G. White

2012 ◽  
Vol 28 (4) ◽  
pp. 175-178
Author(s):  
Manuel Wong On ◽  
Gustavo Castillo Quirós

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090287
Author(s):  
Brandon E Fornwalt ◽  
Madeline Goosmann ◽  
Stephen Reynolds ◽  
Jared D Bunevich

Sternoclavicular joint septic arthritis results from hematogenous spread of a bacterial infection, usually in the immunocompromised. It commonly presents as a chest wall abscess. Cervical abscess resulting from sternoclavicular joint septic arthritis is a rare complication with only one reported case in the English literature. We describe a case of sternoclavicular joint septic arthritis in an elderly diabetic adult with cervical abscess as initial presentation.


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