Case Presentation: A 60-year-old woman with no past medical history presented for evaluation of progressive dizziness with associated right-sided hearing loss. On exam, a fluctuant right occipital scalp abscess was noted. CT of the head was suspicious for mastoiditis. She underwent incision and drainage and was subsequently discharged with oral Amoxicillin-clavulanate. Her symptoms persisted for [...]

Case Presentation: A 6-year-old male with 4-month history of recurrent otitis media presented with one day of headache, ear pain, and left-sided facial droop. Parents claimed that he completed multiple courses of different antibiotics and steroids with incomplete resolution of symptoms. On presentation, he was afebrile. Physical exam was notable for left facial paresis House-Brackmann [...]

Case Presentation: 71-year-old African American female with history of chronic right ear infection/mastoiditis, hypertension, hyperlipidemia, stroke with residual expressive aphasia, diabetes mellitus type II and atrial fibrillation, presented to the ED for diplopia and pain to the right face. Initially the diagnosis of giant-cell arteritis was entertained and temporal artery biopsy showed no evidence of [...]

Case Presentation: A 19-year-old Mennonite male without significant past medical history who had not received any childhood vaccinations presented to the emergency department with left ear pain and neck rigidity for one week. The patient had a fever of 101°F with mastoid tenderness and left tympanic membrane rupture on physical exam. Computed tomography scan was [...]

Case Presentation: A 7 year-old with hypohidrotic ectodermal dysplasia (ED) and recurrent sinusitis was admitted with diplopia, headaches, and fevers. In the preceding 2 months, he had multiple episodes of fever, nasal impetigo, and positive group A strep (GAS) throat swabs without pharyngitis. He was treated twice with azithromycin due to allergies to amoxicillin, cephalosporins, [...]

Case Presentation: A 63-year-old woman was initially admitted for sore throat and dysphagia. At that time, workup revealed right parapharyngeal cellulitis, and she completed a 10-day course of levofloxacin. One month after discharge, the patient presented with a bilateral frontotemporal headache, blurred vision OS, and right otalgia for 2 days. Physical exam was remarkable for [...]

Case Presentation: A 64 year-old Caucasian man with a history of atrial-flutter and hypertension presented with nasal congestion, eye redness, headaches, and progressive hearing loss over 8 months. His longstanding partial left-sided hearing loss progressed to complete hearing loss. In addition, he developed a new right-sided hearing loss. He also complained of right-sided Bell’s Palsy, [...]