Clinical-scintigraphy discordance in a case of malignant external otitis.
We report the case of an immunocompromised female patient with external otitis, who developed a picture of external otitis with poor response to conventional treatment and subsequent isolation of Pseudomona Aeruginosa in the ear secretion culture. The final diagnosis was malignant external otitis. Our objective is to describe the scintigraphic findings as well as to analyze their correlation with the clinical pattern and to evaluate the possible causes of the discordance found.
Servicio de Medicina Nuclear, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain. tati.morales83@gmail.com
T
T
Morales-Avellaneda
A I
AI
González-Ramírez
B
B
Rodríguez-Alfonso
J
J
Mucientes-Rasilla
J R
JR
García-Berrocal
B
B
De Diego
D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use; D002442:Ceftazidime / Q000627:therapeutic use; D003561:Cytarabine / Q000008:administration & dosage / Q000009:adverse effects; D003907:Dexamethasone / Q000008:administration & dosage / Q000009:adverse effects; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications / Q000188:drug therapy; D008875:Middle Aged; D064847:Multimodal Imaging; D009894:Opportunistic Infections / Q000000981:diagnostic imaging* / Q000382:microbiology; D009944:Organoplatinum Compounds / Q000008:administration & dosage / Q000009:adverse effects; D010019:Osteomyelitis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000382:microbiology; D010032:Otitis Externa / Q000150:complications / Q000000981:diagnostic imaging*; D000077150:Oxaliplatin; D049268:Positron-Emission Tomography; D011552:Pseudomonas Infections / Q000000981:diagnostic imaging*; D019291:Skull Base / Q000000981:diagnostic imaging* / Q000382:microbiology; D013701:Temporal Bone / Q000000981:diagnostic imaging / Q000382:microbiology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D009944:Organoplatinum Compounds; D003561:Cytarabine; D000077150:Oxaliplatin; D003907:Dexamethasone; D000583:Amikacin; D002442:Ceftazidime