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Malignant external otitis complicated by spinal cord compression: Case report.

Hiba Safi Eddine1,2, Kenza Gourram1,2, A Merzem1,2

  • 1Radiology Department, University Hospital Center 20 Aout 1953, Casablanca, Morocco.

Annals of Medicine and Surgery (2012)
|November 17, 2022
PubMed
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Malignant otitis externa, a severe infection in diabetics, can lead to serious complications like spinal compression. Early diagnosis and treatment are crucial for managing this necrotizing condition.

Area of Science:

  • Infectious Diseases
  • Otolaryngology
  • Diabetology

Background:

  • Malignant otitis externa (MOE) is a life-threatening infection primarily affecting diabetic patients.
  • Characterized by otorrhea and facial paralysis, MOE involves osteitis of the skull base, spreading from the external ear.
  • Necrotizing otitis externa requires prompt diagnosis and management due to potential severe complications.

Observation:

  • A 60-year-old diabetic patient presented with otorrhea and left facial palsy.
  • CT scan confirmed necrotizing otitis externa, treated with antibiotics.
  • Six months post-treatment, the patient developed tetraparesis and respiratory distress.

Findings:

  • Necrotizing otitis externa (MOE) is an osteitis of the skull base in diabetic patients.

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  • Clinical presentation includes otalgia and purulent otorrhea.
  • Imaging (CT, MRI) is vital for diagnosis, staging, and monitoring complications.

    • Implications:

    • Prompt diagnosis and comprehensive imaging are essential for managing MOE.
    • Antibiotic therapy for a minimum of 6 weeks is the standard treatment.
    • Close follow-up is critical for immunocompromised patients due to the risk of insidious complications.