TY - CHAP M1 - Book, Section TI - Acute Otitis Externa A1 - Rayala, Brian Z. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. Y1 - 2019 N1 - T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 40-year-old woman with type 2 diabetes presents to her family physician with a 2-day history of bilateral otalgia, otorrhea, and hearing loss. Symptoms started in the right ear and then rapidly spread to the left ear. She had a low-grade fever and was systemically ill. The external ear was swollen with honey-crusts (Figures 29-1 and 29-2). The external auditory canal (EAC) was narrowed and contained purulent discharge (Figure 29-3). Ear, nose, and throat (ENT) was consulted, and she was admitted to the hospital for the presumptive diagnosis of malignant otitis externa. The MRI showed some destruction of the temporal bone. She was started on IV ciprofloxacin, and the ear culture grew out Pseudomonas aeruginosa sensitive to ciprofloxacin. The patient responded well to treatment and went home on oral ciprofloxacin 5 days later. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/09 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164344182 ER -