Necrotizing otitis externa in Universiti Kebangsaan Malaysia Medical Center

Mohd Sazafi, Bee See Goh, A. Mazita, Asma Abdullah, S. Lokman

Research output: Contribution to journalArticle

Abstract

Objective To analyze management outcome of necrotizing otitis externa in a tertiary referral center. Methods We retrospectively reviewed patients who were admitted due to necrotizing otitis externa in UKMMC from January 2002 to February 2009. Results A total of seven patients were seen during the study period. There were 6 males and 1 female with age ranging from 31 to 88 years (mean age 55.4). Six were diabetic and 66.7% were on insulin therapy. All of them presented with excruciating otalgia, ear discharge and reduced hearing. Two of the patients developed facial nerve palsy. The causative organism was almost always Pseudomonas aeruginosa (77.8%), although Diptheroids and Aspergillus flavus were isolated. All patients had raised ESR ranging from 37 to 111. Pure tone audiogram showed 57% had mixed hearing loss, 28% had conductive hearing loss and 2% had profound sensorineural hearing loss on affected ear. All patients underwent high resolution computed tomography of temporal bone. Only 1 patient had bone scan. Most of the patients were treated with intravenous ciprofloxacin for about 2 weeks and long term oral ciprofloxacin for at least 3 to 6 months. Conclusion Necrotizing otitis externa occured in elderly and uncontrolled diabetic patient. Pseudomonas aeruginosa was the most common organism cultured and medical treatment with long term ciprofloxacin showed complete resolution of disease and good outcome.

Original languageEnglish
Pages (from-to)143-146
Number of pages4
JournalRawal Medical Journal
Volume36
Issue number2
Publication statusPublished - 2011

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Otitis Externa
Malaysia
Ciprofloxacin
Pseudomonas aeruginosa
Ear
Mixed Conductive-Sensorineural Hearing Loss
Earache
Conductive Hearing Loss
Aspergillus flavus
Sensorineural Hearing Loss
Temporal Bone
Facial Paralysis
Facial Nerve
Tertiary Care Centers
Hearing
Tomography
Insulin
Bone and Bones

Keywords

  • Diabetes mellitus
  • Otitis externa
  • Pseudomonas aeruginosa

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)

Cite this

Necrotizing otitis externa in Universiti Kebangsaan Malaysia Medical Center. / Sazafi, Mohd; Goh, Bee See; Mazita, A.; Abdullah, Asma; Lokman, S.

In: Rawal Medical Journal, Vol. 36, No. 2, 2011, p. 143-146.

Research output: Contribution to journalArticle

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