Related Experiment Videos
[Necrotizing external otitis in children in Abidjan (Ivory Coast)]
E Ette Akre1, A Akre, M J Tanon
1Hôpital Cocody, Service ORL, Abidjan, Côte d'Ivoire.
Revue De Laryngologie - Otologie - Rhinologie
|May 2, 2003
Summary
Necrotizing external otitis (NEO) is a severe Pseudomonas infection typically seen in elderly diabetics. This study highlights eight cases in young, undernourished, non-diabetic children, showing good outcomes with local colistin treatment.
Area of Science:
- Otolaryngology
- Pediatric Infectious Diseases
- Microbiology
Background:
- Necrotizing external otitis (NEO) is a severe Pseudomonas aeruginosa infection of the external auditory canal.
- NEO predominantly affects elderly patients with diabetes mellitus.
- Previous reports have documented NEO in non-diabetic individuals.
Observation:
- Eight cases of NEO in young children (under two years old) were observed.
- These pediatric patients were characterized by undernourishment and a lack of diabetes.
- Clinical outcomes were favorable despite limited therapeutic interventions.
Findings:
- The study identifies a distinct demographic for NEO: young, undernourished, non-diabetic children.
- Local colistin therapy demonstrated efficacy in treating these cases of NEO.
- Successful management was achieved even with modest therapeutic approaches.
Implications:
- These findings expand the known clinical spectrum of necrotizing external otitis.
- The results suggest that undernourished, non-diabetic children are susceptible to NEO.
- Local colistin is an effective treatment option for pediatric NEO, offering a valuable therapeutic strategy.