[Malignant external otitis. Apropos of 7 recent cases].
Seven recent malignant external otitis are described. The authors report criteria of both etiology, bacteriologic, radionuclide scanning computed tomography. Now, for the positive diagnosis, the radionuclide scanning is essential. The computed tomographic scan provided the best anatomic imaging of the infection process. The treatment of choice is systemic antibiotic therapy as fluoroquinolones antibiotic. This antibiotic is active against P. Aeruginosa and has an excellent bone penetration. Only one patient died and another suffered from osteomyelitis of the base of the skull. The radionuclide scanning is very important for criteria of healing, particularly about stoppage of systemic antibiotic therapy.
Ceruse
P
P
Département d'ORL et de chirurgie cervico-faciale, Hôpital Edouard-Herriot, Lyon.
Colleaux
B
B
Truy
E
E
Disant
F
F
Morgon
A H
AH
Lahneche
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology; D010032:Otitis Externa / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D011877:Radionuclide Imaging; D012886:Skull / Q000000981:diagnostic imaging; D013667:Technetium; D014057:Tomography, X-Ray Computed
D013667:Technetium
Les otites malignes externes. A propos de sept cas récents.