Malignant otitis externa: our experience
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20251506Keywords:
Malignant otitis externa, Type 2 diabetes mellitus, Otalgia, HRCT-temporal bone, MRI skull base, IV antibioticsAbstract
Malignant otitis externa (MOE) is a severe and potentially life-threatening infection that originates in external auditory canal. Infection begins in external auditory canal, spreading through fissure of Santorini to the surrounding structures. The clinical course is varied and outcome prediction is difficult. This review aims to explore the clinical presentation, treatment, and follow up of patient with MOE. Three patients who were known cases of type 2 diabetes mellitus (T2DM) presented to the Outpatient department with complaints of intractable otalgia and otorrhea. Some patients had cranial nerve palsy. Radiological investigations were used as adjunct for diagnosis. Clinically they were diagnosed with MOE and were treated with a 6 week course of intravenous ciprofloxacin and piperacillin-tazobactam. Response to treatment was assessed using improvement in signs and symptoms and level of inflammatory markers.
Metrics
References
Di Lullo AM, Russo C, Piroli P, Petti A, Capriglione P, Cantone E, et al. Malignant Otitis External: Our Experience and Literature Review. Am J Case Rep. 2020;21:e925060. DOI: https://doi.org/10.12659/AJCR.925060
Bovo R, Benatti A, Ciorba A, Pseudomonas and Aspergillus interaction in malignant external otitis: Risk of treatment failure: Acta Otorhinolaryngol Ital. 2012;32(6);416-9.
Ali T, Meade K, Anari S, Malignant otitis externa: Case series: J Laryngol Otol. 2010;124(8):846-51. DOI: https://doi.org/10.1017/S0022215110000691
Kumar SP, Ravikumar A, Somu L, Ismail NM. Malignant otitis externa: An emerging scourge. J Clin Gerontol Geriatr. 2013;4(4):128-31. DOI: https://doi.org/10.1016/j.jcgg.2013.02.003
Biswas AC, Ahmed F, Mohammad T, Rahman MA, Milki F, Haque M. Surgical Treatment of Malignant Otitis Externa (MOE)-A New Hope Although Challenging. Otolaryngol Open Access J. 2021;6(2):000218. DOI: https://doi.org/10.23880/ooaj-16000218
Marina S, Giutham MK, Rajeshwary A. A retrospective review of 14 cases of malignant otitis externa. J Otol. 2019;14;63-6. DOI: https://doi.org/10.1016/j.joto.2019.01.003
Singh A, Al Khabori M, Hyder MJ. Skull base ostemyelitis: Diagnostic and therapeutic challenges in atypical presentation: Otolaryngol Head Neck Surg. 2005;133(1):121-5. DOI: https://doi.org/10.1016/j.otohns.2005.03.024
Cohen D, Friedman P. The diagnostic criteria of malignant eternal otiis. J Laryngol Otol. 1987;101(3):216-21. DOI: https://doi.org/10.1017/S0022215100101562
Carfrae MJ, Kesser BW. Malignant otitis externa: Otolaryngol Clin North Am. 2008;41(3):537-49. DOI: https://doi.org/10.1016/j.otc.2008.01.004
Chawdhary G, Liow N, Democratis J, Whiteside O, Necrotising (malignant) otitis externa in the UK: A growing problem. Review of five cases and analysis of national Hospital Episode Statistics trends. J Laryngol Otol. 2015;129(6):600-3. DOI: https://doi.org/10.1017/S002221511500105X