Management of Luc ́s Abscess with Extraordinary Clinical Features Resulting in Bilateral Preseptal Cellulitis and Intracranial Complication: A Case Report and Current Literature Review

Abstract

Luc’s abscess is rarely seen complications of otitis media with case reports from the literature despite being known as a benign course. A few cases have been reported combined with chronic suppurative otitis media, unlike other subperiosteal abscesses due to otitis media. Although Luc’s abscess is remarkable with its distinctive clinical features, early diagnosis may require high suspicion and sufficient clinical experience of clinicians. In case of clinical doubt, the clinician should not hesitate to request further research. A High- resolution computed tomography scan is necessary for determining the extent of disease and treatment planning as soon as possible. Here we present the case of a twelve-year-old boy with Down syndrome diagnosed with Luc’s abscess involving the mastoid bone and developed preseptal cellulitis in both eyes progressed to life-threatening processes. We discussed the clinic features and decision of treatment options of the patients in the light of the literature.