Necrotizing otitis externa: a new trend? Report of 6 atypical cases.

Hdl Handle:
http://hdl.handle.net/10147/127146
Title:
Necrotizing otitis externa: a new trend? Report of 6 atypical cases.
Authors:
Glynn, Fergal; Walsh, Rory McConn
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Beaumont Hospital, Dublin 9, Ireland. fglynn@rcsi.ie
Citation:
Necrotizing otitis externa: a new trend? Report of 6 atypical cases. 2009, 88 (12):1261-3 Ear Nose Throat J
Journal:
Ear, nose, & throat journal
Issue Date:
Dec-2009
URI:
http://hdl.handle.net/10147/127146
PubMed ID:
20013677
Abstract:
Necrotizing otitis externa (OE) is traditionally seen in elderly diabetics and immunocompromised patients. During a 7-year period at our institution, we treated 6 patients with necrotizing OE who were not diabetic, who were not immunocompromised, and who were relatively young (age range: 27 to 65 yr; mean: 42.8). The necrotizing OE in these patients was less aggressive but just as severe as its usual presentation in older diabetic or immunocompromised patients. All 6 patients had evidence of bony erosion on computed tomography of the temporal bones, although 4 had negative findings on technetium-99m scintigraphy. Four of the 6 patients required mastoid exploration and fascia lata grafting, and the other 2 chose to undergo extensive daily microdebridements and intravenous antibiotics followed by 6 weeks of oral antibiotics. We recommend that a diagnosis of necrotizing OE be kept in mind when evaluating any patient who presents with severe otalgia, particularly in the presence of Pseudomonas aeruginosa infection of the external auditory canal, edema, granulation tissue, and bony erosion.
Item Type:
Article
Language:
en
MeSH:
Adult; Aged; Anti-Bacterial Agents; Ear, External; Earache; Female; Humans; Labyrinthitis; Male; Middle Aged; Necrosis; Pseudomonas Infections; Pseudomonas aeruginosa; Severity of Illness Index; Temporal Bone
ISSN:
1942-7522

Full metadata record

DC FieldValue Language
dc.contributor.authorGlynn, Fergalen
dc.contributor.authorWalsh, Rory McConnen
dc.date.accessioned2011-04-05T11:26:24Z-
dc.date.available2011-04-05T11:26:24Z-
dc.date.issued2009-12-
dc.identifier.citationNecrotizing otitis externa: a new trend? Report of 6 atypical cases. 2009, 88 (12):1261-3 Ear Nose Throat Jen
dc.identifier.issn1942-7522-
dc.identifier.pmid20013677-
dc.identifier.urihttp://hdl.handle.net/10147/127146-
dc.description.abstractNecrotizing otitis externa (OE) is traditionally seen in elderly diabetics and immunocompromised patients. During a 7-year period at our institution, we treated 6 patients with necrotizing OE who were not diabetic, who were not immunocompromised, and who were relatively young (age range: 27 to 65 yr; mean: 42.8). The necrotizing OE in these patients was less aggressive but just as severe as its usual presentation in older diabetic or immunocompromised patients. All 6 patients had evidence of bony erosion on computed tomography of the temporal bones, although 4 had negative findings on technetium-99m scintigraphy. Four of the 6 patients required mastoid exploration and fascia lata grafting, and the other 2 chose to undergo extensive daily microdebridements and intravenous antibiotics followed by 6 weeks of oral antibiotics. We recommend that a diagnosis of necrotizing OE be kept in mind when evaluating any patient who presents with severe otalgia, particularly in the presence of Pseudomonas aeruginosa infection of the external auditory canal, edema, granulation tissue, and bony erosion.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAnti-Bacterial Agents-
dc.subject.meshEar, External-
dc.subject.meshEarache-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLabyrinthitis-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNecrosis-
dc.subject.meshPseudomonas Infections-
dc.subject.meshPseudomonas aeruginosa-
dc.subject.meshSeverity of Illness Index-
dc.subject.meshTemporal Bone-
dc.titleNecrotizing otitis externa: a new trend? Report of 6 atypical cases.en
dc.typeArticleen
dc.contributor.departmentDepartment of Otorhinolaryngology-Head and Neck Surgery, Beaumont Hospital, Dublin 9, Ireland. fglynn@rcsi.ieen
dc.identifier.journalEar, nose, & throat journalen
dc.description.provinceLeinster-

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