Congenital cholesteatoma presenting with Luc's abscess

Kalimuthu, Santhi; Tang, Ing Ping; Nordin, Ahamad; Prepageran, Narayanan

doi:10.1093/jscr/rjs026

Cited by 7 publications

(1 citation statement)

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“…One patient had a CT scan demonstrating a wellaerated mastoid while the other had a cortical mastoidectomy, which was later deemed to have been unnecessary (Weiss et al 2010) [5]. In 2012, Santhi and collaborators successfully managed a 5-year-old boy with LA secondary to congenital cholesteatoma with post-auricular I+D and modified radical mastoidectomy [6]. In 2014, a group in the UK managed a 4-year-old patient who presented with LA as well as CTconfirmed acute coalescent mastoiditis with I+D, M+T, Penrose drainage for 48 hours, and 4 weeks of topical and systemic antibiotics [7].…”

Section: Discussionmentioning

confidence: 99%

Luc’s Abscess: First Reported Case with Coexisting Intracranial Abscess and/or Venous Sinus Thrombosis

Akbari¹,

Strahlendorf²,

Ludemann³

et al. 2018

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A 4-year-old male had fever for two weeks, left-sided otalgia and otorrhea for 1 week and then suddenly developed left temporal soft tissue swelling and papilledema. Computerized tomography scan revealed a 3.5 x 2.3 x 1.2cm subperiosteal temporal space (Luc's) Abscess, a 4.6 x 2.7 x 2.5 cm temporal lobe abscess, and transverse plus sigmoid sinus thrombosis. The patient was successfully treated with surgical drainage, long-term intravenous antibiotics, and anti-coagulation. Conclusion: To our knowledge, this is the first documented case of Luc's abscess with a coexisting intracranial abscess and/or venous sinus thrombosis. Although Luc's abscess is a rare and usually relatively benign complication of acute otitis media, early diagnosis and treatment remain essential in preventing potentially life-threatening disease progression.

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Section: Discussionmentioning

confidence: 99%