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Summary
Malignant external otitis (MEO) can cause serious neurological issues like facial paralysis. This case study shows a patient with MEO and multiple cranial nerve palsies who recovered with extended antibiotic treatment.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Malignant external otitis (MEO) is a severe infection often affecting elderly, diabetic patients.
- Neurological complications, including cranial nerve palsies, are characteristic sequelae of MEO.
Purpose of the Study:
- To report a case of MEO with multiple cranial nerve palsies.
- To highlight the potential for recovery with aggressive antibiotic therapy.
Main Methods:
- A case report of a patient with MEO and multiple cranial nerve palsies.
- Treatment involved an extended course of gentamicin sulfate and carbenicillin disodium.
Main Results:
- The patient with MEO and multiple cranial nerve palsies experienced recovery.
- Recovery occurred following prolonged administration of gentamicin and carbenicillin.
Conclusions:
- Aggressive and extended antibiotic treatment may lead to recovery in MEO patients with neurological deficits.
- This case suggests that neurological sequelae of MEO are not always irreversible.