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

Abstract

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.