TY - JOUR
T1 - Complicated necrotizing otitis externa
AU - Nawas, Mariam T.
AU - Daruwalla, Vistasp J.
AU - Spirer, David
AU - Micco, Alan G.
AU - Nemeth, Alexander J.
PY - 2013/11
Y1 - 2013/11
N2 - 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.
AB - 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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U2 - 10.1016/j.amjoto.2013.07.003
DO - 10.1016/j.amjoto.2013.07.003
M3 - Article
C2 - 23927998
AN - SCOPUS:84887043404
SN - 0196-0709
VL - 34
SP - 706
EP - 709
JO - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
JF - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
IS - 6
ER -
