title: Fungal malignant otitis externa.
abstract: An 89-year-old man presented to the outpatient clinic with a 2-month history of persistent unilateral left-sided otalgia, otorrhoea and reduced hearing despite oral and topical antibiotics. Treatment was protracted, requiring a 4-month hospital admission for intravenous antifungal medication as well as 3 further months of oral antifungal treatment. We describe the clinical presentation, complications and treatment of this potentially fatal condition in the context of an unusual, and easily missed, causative organism.
authors.affiliation: Brighton and Sussex University Hospitals NHS Trust, Brighton, Brighton and Hove, UK.
authors.forename: Philippe Frederick
authors.initials: PF
authors.lastname: Bowles
authors.affiliation: Colchester Hospital University NHS Foundation Trust, Colchester, Essex, UK.
authors.forename: Victoria
authors.initials: V
authors.lastname: Perkins
authors.affiliation: Colchester Hospital University NHS Foundation Trust, Colchester, Essex, UK.
authors.forename: Eyal
authors.initials: E
authors.lastname: Schechter
mesh_terms: D061605:Administration, Intravenous; D000284:Administration, Oral; D000369:Aged, 80 and over; D000935:Antifungal Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D002177:Candidiasis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D010032:Otitis Externa / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents