Complications des otites moyennes aiguës et chroniques

An chronic otitis media with effusion complicated with paravertebral abscess: Case report and review of the literature

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Chronic otitis media with effusion occurs post-radiotherapy can cause serious complication.

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Paravertebral abscess.

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No reported case of a paravertebral abscess post chronic otitis media with effusion.

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Our objective was to bring attention to chronic masked mastoiditis.

Introduction

Chronic otitis media are still present and often overlooked. Our observation is interesting by the association of double purulent complications of chronic otitis media: paravertebral abscess and lateral sinus thrombosis.

Case

We report the case of a 54-year-old man with a long history of NPC, who presented to the hospital with severe right earache, associated with headache and 39°fever. CT scan and MRI assessed a complicated chronic otitis media of the middle ear by thrombophlebitis of the lateral sinus and posterior paravertebral abscess. He was put under antibiotic therapy and cortical mastoidectomy two weeks later. Nearly one-year follow up reveals a satisfactory recovery.

Conclusion

The chronic otitis media with effusion deserves careful monitoring. The early diagnosis and adequate treatment of this life-threatening lesion may result in excellent prognosis. Especially for young people in developing countries.