RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57672042
T1 Chapter 27. Otitis Externa
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57672042
RD 2024/10/15
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  27-1  and  27-2).  The  external  auditory  canal  (EAC)  was  narrowed  and  contained  purulent  discharge  (Figure  27-3).  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  was  able  to  go  home  on  oral  ciprofloxacin  5  days  later.