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A rare case of malignant otitis externa in a non-diabetic patient
The Journal of Laryngology and Otology
|September 1, 1978
Abstract:
A case of an elderly non-diabetic patient suffering from malignant otitis externa is reported. The organisms were resistant to Gentamicin and the cause of death was a sub-dural abscess causing pressure on the pons.
Insights
A rare case of malignant otitis externa in an elderly, non-diabetic patient is presented. The infection led to a fatal subdural abscess due to gentamicin-resistant organisms.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Neurology
Background:
- Malignant otitis externa (MOE) is a severe infection of the external auditory canal, typically seen in elderly, diabetic individuals.
- This case highlights a rare presentation of MOE in a non-diabetic patient, emphasizing the need for broad differential diagnoses.
Observation:
- An elderly, non-diabetic patient presented with symptoms of malignant otitis externa.
- Cultures revealed organisms resistant to standard treatment with Gentamicin.
Findings:
- The patient succumbed to a subdural abscess.
- The abscess exerted pressure on the pons, leading to a fatal outcome.
Implications:
- This case underscores the aggressive potential of MOE, even in non-diabetic patients.
- Antimicrobial resistance poses a significant challenge in managing severe infections like MOE.
- Prompt diagnosis and aggressive management are crucial to prevent life-threatening complications such as brain abscesses.