Human immunodeficiency virus and invasive external otitis--a case report.
Acute invasive external otitis is an uncommon life-threatening infection of the external auditory canal (EAC), most often affecting the elderly diabetic patients. Although few reports have been made in HIV-positive/Aids patients among the caucasians. We present here a 25 year old nursing mother with a month history of fever, persistent otalgia with acutely inflammed EAC, gross facial cellulitis, mastoid abscess and facial paresis, following a minor left ear trauma with a matchstick. This unusual course of ear infection in an otherwise healthy young adult prompts a search for an immunodepressing factor which was confirmed to be Human Immunodeficiency Virus (HIV). This article highlights the clinical peculiarities and the management of invasive external otitis in an HIV-positive patient.
Lasisi
O A
OA
Department of Otorhinolaryngology, University College Hospital, Ibadan.
Bakare
R A
RA
Usman
M A
MA
D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008416:Mastoid / Q000601:surgery; D008417:Mastoiditis / Q000150:complications* / Q000382:microbiology / Q000628:therapy*; D010032:Otitis Externa / Q000150:complications* / Q000382:microbiology / Q000628:therapy*; D013203:Staphylococcal Infections / Q000150:complications* / Q000382:microbiology / Q000628:therapy*; D016896:Treatment Outcome