Bezold’s abscess in a diabetic patient without significant clinical symptoms
A 52-year-old Japanese man with a history of type 2 diabetes mellitus (DM) presented with mild dizziness. On admission, the physical examination only revealed tachycardia and right sided cervical lymphadenopathy. On the fifth day of admission, his mental status slightly worsened. Urgent Computed Tom...
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doaj-5a91242c7f8849e297ecbef2bc0a8d302021-07-02T13:29:46ZengElsevierIDCases2214-25092018-01-0112e1e2Bezold’s abscess in a diabetic patient without significant clinical symptomsKohta Katayama0Harumi Gomi1Taijiro Shirokawa2Hiromitsu Akizuki3Hiroyuki Kobayashi4Department of General Medicine, Shirakawa Satellite for Teaching And Research (STAR), Fukushima Medical University, Shirakawa, JapanCenter for Global Health, Mito Kyodo General Hospital, University of Tsukuba, Japan; Corresponding author at: Center for Global Health, Mito Kyodo General Hospital, University of Tsukuba, 3-2-7, Miyamachi, Mito, Ibaraki, 310-0015, Japan.Department of Laboratory Medicine, Tokyo Medical University Hospital, JapanDepartment of Otorhinolaryngology, Mito Kyodo General Hospital, University of Tsukuba, JapanDepartment of Medicine, Mito Kyodo General Hospital, University of Tsukuba, JapanA 52-year-old Japanese man with a history of type 2 diabetes mellitus (DM) presented with mild dizziness. On admission, the physical examination only revealed tachycardia and right sided cervical lymphadenopathy. On the fifth day of admission, his mental status slightly worsened. Urgent Computed Tomography (CT) of the head and neck revealed multiple abscesses spreading from the right temporal bone to the right sternocleidomastoid muscle. Bezold’s abscess was diagnosed. Streptococcus pneumoniae was isolated from middle ear fluid and blood cultures.Bezold’s abscess has rarely been described in the era of antimicrobial therapy. However this abscess can still occur in patients without any typical severe symptoms. Repeated history taking and thorough physical examination can help detect Bezold’s abscess. Keywords: Bezold’s abscess, Diabetes mellitus, Streptococcus pneumoniaehttp://www.sciencedirect.com/science/article/pii/S2214250917300574 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kohta Katayama Harumi Gomi Taijiro Shirokawa Hiromitsu Akizuki Hiroyuki Kobayashi |
spellingShingle |
Kohta Katayama Harumi Gomi Taijiro Shirokawa Hiromitsu Akizuki Hiroyuki Kobayashi Bezold’s abscess in a diabetic patient without significant clinical symptoms IDCases |
author_facet |
Kohta Katayama Harumi Gomi Taijiro Shirokawa Hiromitsu Akizuki Hiroyuki Kobayashi |
author_sort |
Kohta Katayama |
title |
Bezold’s abscess in a diabetic patient without significant clinical symptoms |
title_short |
Bezold’s abscess in a diabetic patient without significant clinical symptoms |
title_full |
Bezold’s abscess in a diabetic patient without significant clinical symptoms |
title_fullStr |
Bezold’s abscess in a diabetic patient without significant clinical symptoms |
title_full_unstemmed |
Bezold’s abscess in a diabetic patient without significant clinical symptoms |
title_sort |
bezold’s abscess in a diabetic patient without significant clinical symptoms |
publisher |
Elsevier |
series |
IDCases |
issn |
2214-2509 |
publishDate |
2018-01-01 |
description |
A 52-year-old Japanese man with a history of type 2 diabetes mellitus (DM) presented with mild dizziness. On admission, the physical examination only revealed tachycardia and right sided cervical lymphadenopathy. On the fifth day of admission, his mental status slightly worsened. Urgent Computed Tomography (CT) of the head and neck revealed multiple abscesses spreading from the right temporal bone to the right sternocleidomastoid muscle. Bezold’s abscess was diagnosed. Streptococcus pneumoniae was isolated from middle ear fluid and blood cultures.Bezold’s abscess has rarely been described in the era of antimicrobial therapy. However this abscess can still occur in patients without any typical severe symptoms. Repeated history taking and thorough physical examination can help detect Bezold’s abscess. Keywords: Bezold’s abscess, Diabetes mellitus, Streptococcus pneumoniae |
url |
http://www.sciencedirect.com/science/article/pii/S2214250917300574 |
work_keys_str_mv |
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