Keywords
Malignant otitis externa, stroke, skull base osteomyelitis, internal carotid vasculitis
Abstract
Malignant otitis externa (MOE) is an aggressive but benign entity which evolves into skull base osteomyelitis. An 81-year-old female patient was admitted for left hemiparesis and homonymous hemianopia. She complained of headache radiating to the right cervical area. A recent history of recurrent otitis media was present. Head and neck imaging showed an ischemic infarction (right temporo-occipital) and a parapharyngeal soft tissue mass originating in an external and medial ear infection. Culture samples revealed Pseudomonas aeruginosa infection leading to the diagnosis of Malignant otitis externa (MOE). Parenteral antibacterial therapy and hyperbaric oxygen therapy resulted in improvement.
References
Views: 1325
HTML downloads: 440
PDF downloads: 520
Figure 2. Gallium67 scintigraphy showing hyperfixation in the corresponding area. downloads: 0
Figure 1. Magnetic resonance imaging showing extensive soft tissue mass with extension to bony structures of skull base and ischemic lesion of the right occipital lobe downloads: 0
Published:
2016-06-07
Issue:
Vol. 3 No. 4
(view)