Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4103749 | American Journal of Otolaryngology | 2013 | 4 Pages |
Abstract
Necrotizing (malignant) otitis externa (NOE) is a rare and invasive infection originating in the external acoustic meatus seen most commonly in diabetes and other immunocompromised states. After a protracted course, disease can smolder and extend into the mastoid, skull base, dural sinuses, and intracranially. We present a case of NOE complicated by mastoiditis, dural sinus thrombosis, and Bezold’s abscess in an uncontrolled diabetic presenting with a prolonged course of facial nerve palsy. We stress the importance of maintaining a high index of clinical suspicion for NOE in diabetic patients and offering timely, aggressive treatment to mitigate its complications.
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Authors
Mariam T. Nawas, Vistasp J. Daruwalla, David Spirer, Alan G. Micco, Alexander J. Nemeth,