Malignant external otitis Signs and symptoms

Malignant external otitis

    * Introduction
    * Signs and symptoms
    * Diagnosis
    * Treatment
back Signs and symptoms
The patient has a history of diabetes, severe ear pain, deep night, otoree purulent, dysphagia, hoarseness and inflammatory faciala.Modificarile dysfunction are observed in the external ear canal and soft tissue periauricular. The pain is disproportionate to the clinic discovered. Marked sensitivity is present in soft tissue of the mandible and mastoid branches. Granulation tissue is present on the floor osteocartilaginous junction. This item is pathognomonic for malignant otitis externa. Otoscope exam may show exposed bone.
Requires examination of cranial nerves, mental status must also be examined, may indicate a deterioration intracranial complication. Tympanic membrane is usually intact. Fever is unusual.
Cranial nerve impairment indicates a negative prognosis. Death is due omplicatiilor intracranial sigmoid sinus thrombosis as well as from complications of treatment: bone marrow suppression induced by long-term antibiotic therapy. The prognosis is affected by comorbid conditions that are common in patients who develop malignant otitis externa.
Family physicians should be suspicious for this disease in immunocompromised patients with otitis externa. When external otitis is refractory to treatment and patients accused severe otalgia, especially at night warning signs are drawn.