Mastoiditis Masquerade.
Eytan KeidarIan BowersEric SargentPublished in: Ear, nose, & throat journal (2020)
We report a case of primary temporal bone diffuse B-cell non-Hodgkin lymphoma, which is a rare entity. A 71-year-old male with a history of dementia and hemicraniectomy presented due to 1 month of a pronounced left ulcerative mastoid lesion. Strikingly, there were no cranial nerve deficits which was unexpected due to the degree of the lesion. Initially, infectious mastoiditis was suspected based on physical examination alone. Due to the patient being a poor historian, it was difficult to determine whether this was an acute or chronic issue. Temporal bone squamous cell carcinoma, infectious mastoiditis, and actinomycosis were on the differential, but biopsies revealed non-Hodgkin lymphoma.
Keyphrases
- squamous cell carcinoma
- bone mineral density
- liver failure
- bone loss
- mild cognitive impairment
- bone regeneration
- traumatic brain injury
- mental health
- drug induced
- physical activity
- respiratory failure
- case report
- single cell
- low grade
- cognitive impairment
- extracorporeal membrane oxygenation
- hepatitis b virus
- acute respiratory distress syndrome