Endocrine Abstracts

Introduction: Benzold abscess remains rare, and its occurrence implies immunosuppression, particularly within unbalanced diabetes.

Methods and Results: Observation of a 76-year-old patient, diabetic for 29 years, on metformin, admitted for CMO of the right ear, complicated by Bezold’s abscess. The interrogation revealed purulent otorrhea hypoacusis. The clinical examination revealed hyperglycemia, a swelling of the sternocleidomastoid, responsible for a torticollis. MRI of the rocks: abscessed and fistulated right cholesteatomatous otitis in the sternocleido-mastoid muscle. The biological tests showed an inflammatoire profil. Management: Insulin therapy and oral antidiabetics, drainage.

Discussion: Bezold’s abscess is a rare extra-cranial complication of CMT occurring in immunosuppressive conditions such as chronic hyperglycemia in diabetes. It requires a CT scan or better an MRI for diagnosis. While the management is essentially based on an adapted antibiotics associated most often with surgical drainage.

Conclusion: Diabetes is an immunosuppressive factor exposing patients to an increased risk of infections such as abscess. Early, efficient and multidisciplinary management is required management to improve the prognosis.

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