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[Progressive necrotizing otitis externa in an elderly diabetic with cranial nerve paralysis]
Abstract:
On the basis of an own observation the rare clinical picture of an external otitis with pareses of the brain nerves is casuistically described. Up to now it was observed only in elder persons with diabetes mellitus. The pathogenic agent is always Pseudomonas aeruginosa. The inflammatory process, issuing from the external auditory passage and under circumvention of the tympanum, spreads to the skull base and according to the localisation causes adequate pareses of the brain nerves. Early operation and aimed antibiotic therapy is the therapy of choice.
Insights
This case study describes rare external otitis causing brain nerve palsies in elderly patients with diabetes. Pseudomonas aeruginosa infection spreads from the ear to the skull base, leading to nerve damage.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Neurology
Background:
- External otitis, particularly in elderly individuals with diabetes mellitus, can present with rare complications.
- Cranial nerve palsies associated with otitis externa are infrequently documented.