2015, Number 614
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Rev Med Cos Cen 2015; 72 (614)
Otitis externa maligna
Berrocal ZR
Language: Spanish
References: 10
Page: 149-152
PDF size: 63.45 Kb.
ABSTRACT
Malignant otitis externa, is a
severe infection that affects the
ear canal (bone / cartilage) and
adjacent soft tissues. Usually
affecting immunocompromised
patients, being diabetes mellitus
the most associated condition
with up to 65% of cases. In
most cases the causative agent
is
Pseudomonas aeruginosa.
Diagnosis should be based
on a medical history and
complete physical examination,
correlating the findings with
laboratory and imaging
studies. Antibiotic therapy with
activity against
P. aeruginosa
is the mainstay of treatment.
Even with proper diagnosis and treatment it is associated with a mortality rate of 10-20%.
REFERENCES
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Balcázar LE et al. Otitis externa maligna. Rev Esp Med Quir 2014; 19:104-109.
Bhandary S; et al. Malignant otitis externa: a review. Pac Health Dialog. 2002; 9 (1); 64-7.
Hobson C. et al. Malignant Otitis Externa: Evolving Pathogens and Implications for Diagnosis and Treatment.Otolaryngol Head Neck Surg. 2014;151(1):112-116.
Hollis S. et al. Management of malignant (necrotising) otitis externa. The Journal of laryngology and otology. 2011; 27 (3) ;127-133.
Karaman E. et al. Malignant otitis externa. The Journal of craniofacial surgery . 2012 ; 23 (6); 1748-51.
Santisteban F. Otitis externa maligna: enfermedad de Chandler. MEDISAN 2007;11(3).
Soudry E. et al. Characteristics and prognosis of malignant external otitis with facial paralysis. Archives of otolaryngology--head & neck surgery. 2007; 133 (10); 1002-4.
Stawski R. Otitis externa maligna. ORL 02; 2013.
Yaniv H. et al Fungal malignant external otitis. Journal of Infection.2011 ; 62(3) ; 226-231.
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