A unique case of Bezold's abscess associated with multiple dural sinus thromboses

Objectives/Hypothesis: Bezold's abscess and dural sinus thromboses are rare complications of otitis media in the era of antibiotics. Although potentia lly fatal, they are treatable. We present a unique case report of Bezold's abscess in association with multiple dural sinus thromboses. Study Design: Single case report. Methods: A young female patient's clinical course is pr esented and discussed. We review the anatomy, incidence, pathogenesis, and treatment of Bezold's abscess and dural sinus thrombosis. Results: After ma stoidectomy, neck exploration, broad-spectrum intravenous antibiotics, and anticoagulation therapy, the patient recovered fully and has remained asymp tomatic since her discharge from the hospital at 12 months' follow-up. Conc lusions: This is the first reported case of Bezold's abscess associated wit h a cavernous sinus thrombosis and the third reported case of Bezold's absc ess associated with lateral sinus thrombosis. Despite its rarity, Bezold's abscess must be recognized and treated aggressively. Dural sinus thrombosis is relatively more common, and treatment of the underlying cause is essent ial. The diagnosis and rapid, aggressive treatment of these conditions are essential for an optimal clinical outcome.