A laborer fell down from a height and lost consciousness. On examination, he was found comatose with bleeding from the right ear. Few days later he recovered his consciousness and the bleeding from his ear stopped but a clear watery fluid continued pouring from the ear especially on straining. This watery otorhea continued for one month during which he developed recurrent attacks of fever and headache that recovered with medical treatment and a minor procedure.
One of these attacks was characterized by rigors and tender enlarged right upper deep cervical lymph nodes. What could be the possible reason for this condition? What treatment options would you prefer for this patient? *This case is from the Docplexus Editorial Team and is for educative purpose only.
