Necrotizing (malignant) otitis externa: an unusual localization of mucormycosis

Tuzcu, A.; Bahceci, M.; Celen, M. K.; Kilinc, N.; Ozmen, S.
October 2006
Indian Journal of Medical Microbiology;Oct2006, Vol. 24 Issue 4, p289
Academic Journal
journal article
Malignant otitis externa (MOE) is a severe infection of external auditory canal and skull base. A 17-year-old diabetic girl was admitted with diabetic ketoacidosis. Cellulitis of her right ear occurred on the second day of hospitalization and a black necrotic scar in the same region appeared on the next day. The lesion rapidly invaded to right side of neck and surrounding tissue of the patient. Therefore, antimycotic therapy was started. Unfortunately the patient died on seventh day of hospitalization because of probably extensive fungal invasion. Physicians should suspect MOE connected to mucormycosis especially in patients with cutaneous lesions of ear unresponsive to antibiotic therapy.


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