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Atypical presentations of malignant otitis externa.

Vourexakis, Z; Kos, M-I; Guyot, J-P.

J Laryngol Otol ; 124(11): 1205-8, 2010 Nov.

Article in English | MEDLINE | ID: mdl-20193102

ABSTRACT

INTRODUCTION: Malignant otitis externa is a life-threatening infection of the skull base. Its presentation is not always typical. CASE REPORTS: We report three cases of malignant otitis externa which illustrate the diversity of its clinical manifestations and the difficulties in its diagnosis. DISCUSSION: The perception of malignant otitis externa as an infection caused by Pseudomonas aeruginosa in diabetic patients is not always correct. The adoption of diagnostic criteria could be helpful in identifying atypical cases.

Subject(s)

Osteomyelitis/etiology , Otitis Externa/diagnosis , Pseudomonas Infections , Aged , Anti-Infective Agents/therapeutic use , Aspergillosis/complications , Aspergillus flavus/isolation & purification , Brain Abscess/diagnostic imaging , Brain Abscess/etiology , Brain Abscess/surgery , Diagnosis, Differential , Disease Progression , Earache/etiology , Female , Hearing Loss, Sensorineural/etiology , Humans , Male , Mastoid/surgery , Middle Aged , Necrosis , Osteomyelitis/therapy , Otitis Externa/etiology , Otitis Externa/therapy , Otologic Surgical Procedures/methods , Pseudomonas Infections/diagnosis , Skull Base , Tomography, X-Ray Computed , Vertigo/etiology

ABSTRACT

Subject(s)

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