Malignant Otitis Externa and Stroke

  • Marta Catarino Manso Department of Internal Medicine, Hospital de Egas Moniz, Lisboa
  • Simão C. Rodeia Department of Internal Medicine, Hospital de Egas Moniz, Lisboa
  • Sofia Rodrigues Department of Internal Medicine, Hospital de Egas Moniz, Lisboa
  • Pedro Cavilhas Department of Otorhinolaryngology, Hospital de Egas Moniz, Lisboa
  • Raquel Domingos Department of Internal Medicine, Hospital de Egas Moniz, Lisboa

Keywords

Malignant otitis externa, stroke, skull base osteomyelitis, internal carotid vasculitis

Abstract

Malignant otitis externa (MOE) is an aggressive but benign entity which evolves into skull base osteomyelitis. An 81-year-old female patient was admitted for left hemiparesis and homonymous hemianopia. She complained of headache radiating to the right cervical area. A recent history of recurrent otitis media was present. Head and neck imaging showed an ischemic infarction (right temporo-occipital) and a parapharyngeal soft tissue mass originating in an external and medial ear infection. Culture samples revealed Pseudomonas aeruginosa infection leading to the diagnosis of Malignant otitis externa (MOE). Parenteral antibacterial therapy and hyperbaric oxygen therapy resulted in improvement.

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  • Published: 2016-06-07

    Issue: Vol 3 No 4 (view)

    Section: Articles

    How to cite:
    Catarino Manso, M., Rodeia, S., Rodrigues, S., Cavilhas, P., & Domingos, R. (2016). Malignant Otitis Externa and Stroke. European Journal of Case Reports in Internal Medicine, 3(4). https://doi.org/https://doi.org/10.12890/2016_000387