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[Necrotizing external otitis: a case report from Abidjan]
Max N'kan Ange Mobio1, J J Atteby Yao, Ayekpa Yotio
1Service ORL, CHU de Treichville, Abidjan 01, Côte-d'Ivoire. mobiomax@yahoo.fr
Sante (Montrouge, France)
|October 6, 2009
Summary
Necrotizing external otitis, a severe ear infection, rarely affects children. This case details a Pseudomonas aeruginosa infection in a 2-year-old, requiring medical and surgical intervention.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Pediatric Medicine
Background:
- Necrotizing external otitis (NEO) is a severe bacterial infection of the external ear canal.
- Typically affects elderly patients with diabetes mellitus.
- Pseudomonas aeruginosa is a common causative agent.
Observation:
- A rare case of NEO in an immunocompetent 2-year-old girl is presented.
- Infection caused deep ulceration and necrosis of the left antihelix.
- The patient presented with symptoms of severe ear pain and discharge.
Findings:
- Infection confirmed as Pseudomonas aeruginosa.
- Microbiological analysis identified the specific bacterial strain.
- Imaging revealed extensive tissue damage in the external ear canal.
Implications:
- Highlights the potential for NEO in pediatric populations, even without typical risk factors.
- Emphasizes the importance of prompt diagnosis and aggressive treatment in severe cases.
- Surgical intervention may be necessary for complications like stricture formation.
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