Aim: to describe two rare complications of acute otitis media inadequately treated. Method: description of a case of two simultaneous complications of acute otitis media in a 12-year-old boy and a posterior literature review of the theme. Results: a 12-year-old white boy was referred to our ENT Department presenting 'otitis' for two months without improvement with the clinical treatment and evolving to a right cervical mass. At the clinic examination the otoscopic findings were a thickened and opaque tympanic membrane with a discreet increase on its vascularization. The radiologic exams showed an inflammatory/infectious process involving the mastoid region, with multiple abscesses aspect extending extra-cranially to the right cervical area and presence of suggestive alterations of phlebitis in the transverse and sigmoid right sinus. After surgical procedure and parenteral antibiotic therapy, the patient had a good evolution, with a low morbidity. Conclusions: despite the low incidence of the acute otitis media complications, due to the evolution and high spectrum of the antibiotic therapy, we must not forget they still exist.
Bezold's mastoiditis; sigmoid sinus' phlebitis; transverse sinus' phlebitis; otitis media's complications
