A camouflaged brain abscess with zygomatic Abscess – A bizzare presentation in chronic suppurative otitis media

Intracranial complications of chronic suppurative otitis media (CSOM), even though rare, can have a simultaneous occurrence of multiple complications. An 8-year-old child, a case of CSOM (squamosal) with zygomatic abscess, was referred to us with HRCT temporal bone showing left otomastoiditis and 7 days of higher intravenous antibiotics. The patient was treated with modified radical mastoidectomy and incision and drainage of the abscess. On the 4th postoperative day, he developed focal neurological deficits which confirmed a brain abscess on magnetic resonance imaging on the same side. It was further managed by neurosurgeons. Here, we report this unusual presentation of multiple complications of CSOM.