A rare case of bilateral malignant otitis externa and osteomyelitis with lower cranial nerve sequelae.
The authors present the case of a 76-year-old male who presented with right-sided recurrent malignant otitis externa (MOE) and skull-base osteomyelitis. His management involved aggressive antimicrobial therapy and multiple hyperbaric oxygen treatments. After resolution of his right-sided infection, the patient returned a short time later with symptoms and findings consistent with new, left-sided MOE with involvement of the left skull-base. With repeat treatment, the patient is now cured of his infection but poses a challenge to the treating team about future management.
ENT Department, Fremantle Hospital, Perth, Western Australia, Australia. travis.leahy@gmail.com
Travis William
TW
Leahy
Chady
C
Sader
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003389:Cranial Nerve Diseases / Q000209:etiology*; D003937:Diagnosis, Differential; D006319:Hearing Loss, Sensorineural / Q000209:etiology; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D010019:Osteomyelitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy; D010032:Otitis Externa / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy; D013701:Temporal Bone; D015899:Tomography, Emission-Computed, Single-Photon
D000900:Anti-Bacterial Agents