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2017 ; 29
(92
): 161-163
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Citelli s Abscess Following Otitis Media: A Case Report
#MMPMID28589110
Sahoo AK
; Preetam C
; Samal DK
; Sarkar S
Iran J Otorhinolaryngol
2017[May]; 29
(92
): 161-163
PMID28589110
show ga
INTRODUCTION: Citelli's abscess is an extratemporal complication of otitis media.
It occurs when pus from the mastoid tip trickles down along the posterior belly
of the digastric muscle to the occipital and cervical region. It is a very
unusual presenting complication of chronic otitis media with no available data in
the until now. CASE REPORT: A 10-year-old female was presented to our outpatient
department with a 1 month history of hi-grade fever and headache and pain around
the left half of the face. During physical examination a huge swelling present in
the left temporal and occipital region was observed. The swelling crossed the
midline, was tender to touch, and was fluctuant. During otological examination
left sided chronic suppurative otitis media, of the attico-antral type with
cholesteatoma, and a profuse foul smelling purulent discharge was observed. After
complete investigation, drainage of the patient's abscess was performed under
general anesthesia. A postaural incision was administered and around 500 ml of
pus drained out. Immediately after the operation, the patient showed signs of
recovery. After 3 weeks of parenteral antibiotic therapy, the primary focus was
debrided by performing left modified radical mastoidectomy. CONCLUSION: Citelli's
abscess is a rare complication of otitis media. Urgent radiology, followed by
drainage of pus is performed to reduce pain and further progression of the
infective process. The primary ear pathology is managed surgically after adequate
treatment with intra venous antibiotics.