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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Main Authors: Kohta Katayama, Harumi Gomi, Taijiro Shirokawa, Hiromitsu Akizuki, Hiroyuki Kobayashi
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:IDCases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250917300574
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spelling 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
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AT taijiroshirokawa bezoldsabscessinadiabeticpatientwithoutsignificantclinicalsymptoms
AT hiromitsuakizuki bezoldsabscessinadiabeticpatientwithoutsignificantclinicalsymptoms
AT hiroyukikobayashi bezoldsabscessinadiabeticpatientwithoutsignificantclinicalsymptoms
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