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Synchronous Occurrence of Bilateral Malignant Otitis Externa: Report of a Rare Case

Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilateral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we...

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Detalles Bibliográficos
Autores principales: Lamry, Nur Adillah, Misron, Khairunnisak, Tengku Kamalden, Tengku Mohamed Izam, Aziz, Azliana, Salim, Rosdan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Family Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8648487/
https://www.ncbi.nlm.nih.gov/pubmed/32456405
http://dx.doi.org/10.4082/kjfm.20.0071
Descripción
Sumario:Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilateral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we report a case of bilateral MOE managed aggressively with regular ear toileting, ear packing with a ribbon gauze soaked with topical antimicrobials, and long-term intravenous and oral antibiotics. The patient showed good improvement in pain control, facial nerve status, and ear findings.