Otogenic brain abscess and postauricular fistula are complications of chronic suppurative otitis media. We describe a rare case of bilateral chronic suppurative otitis media that caused a left temporal lobe abscess and a right mastoid fistula.
Otogenic brain abscess is the second most common intracranial complication of middle ear infection; only meningitis is more prevalent. Reported mortality rates for otogenic brain abscess range widely—from 7 to 61%.1Approximately 50% of all brain abscesses in adults are of otogenic etiology.2
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