Acute myelogenous leukemia presenting as atypical mastoiditis

Abstract

Abstract Acute leukemia presenting as otitis media is a rare presentation of the disease [1–5]. We present a patient that was diagnosed with acute myelogenous leukemia (AML) who had signs and symptoms of acute otitis media and mastoiditis. His workup revealed granulocytic sarcoma involving the superior sagittal sinus, sigmoid sinus, internal jugular vein, and parotid gland. This extensive involvement of granulocytic sarcoma has not been described. This case report highlights the importance of complete hematologic and radiologic workup prior to consideration for surgical intervention for mastoiditis.