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

Introduction The complication process begins with bone destruction secondary to acute mastoiditis and then spreads the infection to the subperiosteal plane in patients with otitis media. A subperiosteal abscess is called depending on its location (1). Luc’s abscess is only encountered in the case reports, even though it was presented as a relatively benign course compared to other subperiosteal abscesses (2,3). Another feature distinguishing Luc’s abscess from other complications is the possibility of delay in differential diagnosis due to its rare nature (1). In order to prevent the process of life-threatening complications, early identification is vital. We have experienced that if adequate treatment is not given in time, its aggressive course may be inevitable and behave like a locally aggressive tumor. This case is presented to guide the routes of infection, show the clinical symptoms that cause a life-threatening process, and emphasize the importance of timely surgical intervention in possible similar pathologies. In the light of the literature, we wanted to review the clinical approach and surgical planning process in these cases, especially during the pandemic.