A Bezold abscess is an exceptionally rare complication of untreated acute otitis media or mastoiditis, with only about 100 cases described in the English literature and only four reports in children younger than 5 years [1]. Bezold abscesses occur when an infection in the mastoid space erodes through the bony cortex and into the deep spaces of the neck [2]. The infection can spread to the carotid sheath, mediastinum, and brain with devastating consequences if source control is not promptly obtained [2]. Urgent intervention with antibiotics and surgical drainage is required to prevent disease progression and death. While exceptionally rare in the modern age due to the widespread use of antibiotics, emergency physicians must consider this diagnosis in children presenting with neck pain, as failure to identify this late complication can have devastating consequences.