How can we manage Bezold abscess emergency in COVID-19 pandemic? Blind ceftriaxone and metronidazole treatment to avoid infection spread†-Reference-Cited by-同舟云学术

How can we manage Bezold abscess emergency in COVID-19 pandemic? Blind ceftriaxone and metronidazole treatment to avoid infection spread†

Published:2021-10-01 Issue:10 Volume:2021 Page:
ISSN:2042-8812
Container-title:Journal of Surgical Case Reports
language:en
Short-container-title:

Author:

Scarpa Alfonso¹,Di Stadio Arianna²,De Luca Pietro¹^ORCID,Calvanese Matteo¹,Viola Pasquale³^ORCID,Tassone Domenico⁴,de Campora Luca⁴,Simone Matteo⁴,Ricci Giampietro²,Messineo Daniela⁵,Ralli Massimo⁶,Cassandro Claudia⁷

Affiliation:

1. Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy

2. Department of Otolaryngology, University of Perugia, Perugia, Italy

3. Department of Experimental and Clinical Medicine, Unit of Audiology, Regional Centre for Cochlear Implants and ENT Diseases, Magna Graecia University, Catanzaro, Italy

4. Otolaryngology Department, San Giovanni-Addolorata Hospital, Rome, Italy

5. Radiology Oncology and Anatomopathological Department, University La Sapienza, Rome, Italy

6. Organ of Sense Department, University La Sapienza, Rome, Italy

7. Department of Otolaryngology, University of Turin, Turin, Italy

Abstract

Abstract Bezold abscess (BA) can be a rare complication of different forms of otitis media. We describe a rare case of BA determined by Escherichia Coli. Because of COVID-19 restriction, the surgery had to be delayed up to the swab results. To avoid infection spread, the patient was treated by blind antibiotic treatment until the surgical drainage of mastoid and neck. Thanks to the treatment with broad-spectrum antibiotics, the progression and the spread of the infection during COVID-19 investigation was avoided. Delayed surgery could expose the patient to the risk of severe brain infection caused by the E. Coli.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/jscr/article-pdf/2021/10/rjab493/40857361/rjab493.pdf

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