malignant otitis externa
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Etiology
- Pseudomonas aeruginosa (most common)
- Aspergillus fumigatus
- Candida glabrata
Clinical manifestations
- fever > 39 C
- disproportionate pain
Complications
- osteomyelitis
- mastoiditis
- infection of temporal bone
- invasion of cranial nerves
Management
- hospitalization
- referral to otolarygologist
- intravenous antibiotics (active against pseudomonas)[1]
- also see otitis externa
More general terms
References
- ↑ 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 16, 18 American College of Physicians, Philadelphia 2012, 2018.
- ↑ Long DA, Koyfman A, Long B. An emergency medicine-focused review of malignant otitis externa. Am J Emerg Med. 2020 Aug;38(8):1671-1678. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32505469 Review.
- ↑ Karaman E, Yilmaz M, Ibrahimov M, Haciyev Y, Enver O. Malignant otitis externa. J Craniofac Surg. 2012 Nov;23(6):1748-51. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23147298