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Malignant external otitis in infants

P L Cóser, A E Stamm, R C Lobo

    The Laryngoscope
    |February 1, 1980
    PubMed
    Summary
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    Malignant external otitis (MEO) in infants is rare but serious. Early, intensive treatment prevented severe complications like facial paralysis in two infant boys with MEO.

    Area of Science:

    • Otolaryngology
    • Pediatric Infectious Diseases
    • Medical Microbiology

    Background:

    • Malignant external otitis (MEO), a severe infection of the external auditory canal, is uncommon in infants.
    • The condition typically affects immunocompromised or elderly patients, with limited pediatric case reports.

    Observation:

    • Two infant boys, aged 5 and 6 months, presented with MEO.
    • Etiologic agents identified were Pseudomonas aeruginosa and Proteus mirabilis, respectively.
    • Both infants were in a critical general health state upon presentation.

    Findings:

    • Despite their poor health, neither infant developed severe complications such as facial paralysis.
    • Prompt and intensive treatment initiated at the onset of the condition was crucial for the positive outcome.

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    Implications:

    • This case series highlights the importance of early diagnosis and aggressive management of MEO in infants.
    • Aggressive treatment can avert serious sequelae, even in critically ill infants.
    • Further research into pediatric MEO is warranted to optimize treatment protocols.