External Otitis Treatment
Medical treatment consists of analgesics (paracetamol, aspirin) for pain relief, antibiotics (drops) or corticosteroids (cortisone). If inflammation is severe, antibiotics may be administered orally.
If this a pimple, antibiotics are ineffective. Incision of boils is contraindicated because of the risk of spreading infection to the auricle. Severe forms require intensive antibiotic therapy, after an effective antibiotic susceptibility for the election.
Staph infections are sometimes serious. There is a form of otitis externa "malignant", accompanied by inflammation of the bone at this level. This type of ear infection is the result of an infection with Pseudomonas bacillus (Pseudomonas aeruginosa). This type of infection is seen mainly in patients with diabetes, the elderly and in subjects with depressed immune systems (HIV patients). In this case we found a leakage of pus from the ear and sometimes a transmission deafness. Frequently, the evolution is towards a paralysis of the face (facial paralysis). Treatment requires patient hospitalization and use of antibiotics (fluoroquinolones). Hospitalization lasts several weeks because the risk of osteomyelitis is high.
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