A Rare Case of Luc's Abscess in an Immunocompromised Female Patient

Sharifah Fatimah Syahirah Syed Afandi1,2, Rohaida Ibrahim2, Zalilah Musa2

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.

Cureus
|November 11, 2024
PubMed

Insights

Luc's abscess, a rare complication of otitis media, involves infection spreading from the middle ear. This case report details the diagnosis and successful management of a patient with Luc's abscess and mastoid bone involvement.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Radiology

Background:

  • Otitis media can lead to rare but serious complications.
  • Luc's abscess, a subperiosteal collection beneath the temporal muscle, arises from middle ear infection.
  • Delayed diagnosis is common due to the rarity of Luc's abscess.

Observation:

  • A 48-year-old female presented with symptoms suggestive of a complicated middle ear infection.
  • Imaging revealed Luc's abscess with concurrent mastoid bone involvement.
  • The patient's clinical presentation was consistent with a deep-seated infection originating from the middle ear.

Findings:

  • The case highlights the importance of considering Luc's abscess in the differential diagnosis of deep ear infections.
  • Successful management involved a combination of appropriate medical and potentially surgical interventions.
  • Early recognition and prompt treatment are crucial for favorable outcomes in Luc's abscess.

Implications:

  • Clinicians should maintain a high index of suspicion for Luc's abscess in patients with otitis media and persistent symptoms.
  • Understanding the pathophysiology and clinical course aids in timely diagnosis and effective treatment strategies.
  • This case contributes to the literature on managing rare otitis media complications, emphasizing prompt intervention for mastoid and subperiosteal involvement.