title: Otomastoiditis with acute left facial nerve paralysis caused by Mycobacterium chelonae.
abstract: Mycobacterium chelonae usually causes soft-tissue and skin infection. It is a rare cause of otomastoiditis. The clinical presentation and operative findings are similar to those of other nontuberculous mycobacterial infections. We describe a case of left-sided otomastoiditis with acute facial nerve paralysis caused by this organism in a previously well middle-aged woman. Her facial palsy totally resolved after tympanomastoidectomy plus a 7-week regimen of clarithromycin and moxifloxacin. To our knowledge, a case of otomastoiditis with acute facial nerve paralysis caused by M chelonae has not been reported previously.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Mackay Memorial Hospital Hsinchu Branch, Hsinchu City, Taiwan.
authors.forename: Kang-Chao
authors.initials: KC
authors.lastname: Wu
authors.forename: Min-Tsan
authors.initials: MT
authors.lastname: Shu
authors.forename: Bo-Nien
authors.initials: BN
authors.lastname: Chen
mesh_terms: D005158:Facial Paralysis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008417:Mastoiditis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D016926:Mycobacterium chelonae