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Malignant external otitis: now a medical problem.

J A Giordano, J Phillips

    Diabetes Care
    |September 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Malignant external otitis, a severe infection, can spread to the cervical vertebrae. This case highlights the importance of prompt treatment for this dangerous condition, even in elderly diabetic patients.

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    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • Neurosurgery

    Background:

    • Malignant external otitis (MEO) is a severe infection typically affecting the elderly and immunocompromised.
    • Pseudomonas aeruginosa is the most common causative pathogen.
    • MEO can lead to significant morbidity and mortality, often due to cranial nerve involvement.

    Observation:

    • A 75-year-old diabetic woman presented with right ear tenderness and neck pain.
    • Surgical exploration revealed Pseudomonas aeruginosa in an inflammatory area near the cervical vertebrae.
    • The patient exhibited jugular foramen syndrome, involving multiple cranial nerves.

    Findings:

    • The patient was diagnosed with malignant external otitis with extension to the cervical vertebrae.
    • Treatment with parenteral antibiotics resulted in a complete cure.

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  • This represents the first reported case of MEO with cervical vertebrae invasion.

    • Implications:

    • This case underscores the aggressive nature of MEO and the potential for vertebral spread.
    • Early diagnosis and aggressive antibiotic therapy are crucial for managing MEO, especially with cranial nerve involvement.
    • The findings emphasize the need for vigilance in immunocompromised patients presenting with otalgia and neck pain.