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Published on: March 17, 2014
Multiresistant Acinetobacter baumannii causing malignant otitis externa: a case report
P Marra1, A Trusio1, G De Cristofaro1
1Azienda Ospedaliera di Rilievo Nazionale e di Alta Specialità San Giuseppe Moscati, Avellino, Campania, Italy.
Abstract:
Malignant otitis externa is an infection of the skin and soft tissue of the ear canal, spreading to the nearby structures. It causes severe otalgia and otorrhea, and can lead to ominous consequences such as cranial nerve damage and meningitis. The main etiologic agent is Pseudomonas aeruginosa and treatment relies on broad-spectrum intravenous antibiotics. We report a rare case of a woman suffering from Malignant otitis externa caused by Acinetobacter baumannii and requiring the use of colistin.
Insights
Malignant otitis externa, typically caused by Pseudomonas aeruginosa, can rarely stem from Acinetobacter baumannii. This case highlights the need for colistin in treating this severe ear infection when conventional antibiotics fail.
Area of Science:
- Infectious Diseases
- Otolaryngology
- Microbiology
Background:
- Malignant otitis externa (MOE) is a severe infection of the ear canal.
- It commonly involves Pseudomonas aeruginosa and can lead to serious complications.
- Standard treatment involves broad-spectrum intravenous antibiotics.
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