Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-23T11:02:49.307Z Has data issue: false hasContentIssue false

Malignant otitis externa with optic neuritis

Published online by Cambridge University Press:  29 June 2007

A. P. Bath*
Affiliation:
Department of Otolaryngology, Norfolk and Norwich Hospital, Norwich, UK.
J. R. Rowe
Affiliation:
Department of Otolaryngology, Norfolk and Norwich Hospital, Norwich, UK.
*
Address for correspondence: Mr A. P. Bath, ENT Department, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF.

Abstract

Malignant otitis externa is a serious condition that presents difficulties in treatment, and also in monitoring its progress. A case of malignant otitis externa with optic neuritis is presented that remained refractory to standard treatment but was cured by adjuvant hyperbaric oxygen therapy. This is the only reported case that has survived this disease with optic neuritis. The usefulness of imaging techniques in this condition is discussed, as well as the ESR, in evaluating the effectiveness of treatment.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bingham, E. L., Hart, G. B. (1977) Hyperbaric oxygen treatment of refractory osteomyelitis. Postgraduate Medicine 61: 7076.CrossRefGoogle ScholarPubMed
Chandler, J. R. (1968) Malignant external otitis. Laryngoscope 78: 12571294.CrossRefGoogle ScholarPubMed
Davis, J. C., Gates, G. A., Lerner, G., Davis, M. G., Mader, J. T., Dinesman, A. (1992) Adjuvant hyberbaric oxygen therapy in malignant external otitis. Archives of Otolaryngology – Head and Neck Surgery 118: 8993.CrossRefGoogle Scholar
Dinapoli, R. P., Thomas, S. E. (1971) Neurologic aspects of malignant external otitis: report of three cases. Mayo Clinic Proceedings 46: 339344.Google ScholarPubMed
Doroghazi, R. M., Nadol, J. B., Hyslop, N. E., Baker, A. S., Axelrod, L. (1981) Invasive external otitis: report of 21 cases and review of the literature. American Journal of Medicine 71: 603614.CrossRefGoogle ScholarPubMed
El-Silimy, O., Sharnuby, M. (1992) Malignant external otitis: management policy. Journal of Laryngology and Otology 106: 56.CrossRefGoogle ScholarPubMed
Gherini, S. G., Brackmann, D. E., Bradley, W. G. (1986) Magnetic resonance imaging and computerized tomography in malignant external otitis. Laryngoscope 96: 542548.CrossRefGoogle ScholarPubMed
Gold, S., Som, P. M., Lucente, F. E., Lawson, W., Mendelson, M., Parisier, S. C. (1984) Radiographic findings in progressive necrotizing ‘malignant’ external otitis. Laryngoscope 94: 363366.CrossRefGoogle ScholarPubMed
Holder, C. D., Gurucharri, M., Bartels, L. J., Colman, M. F. (1986) Malignant external otitis with optic neuritis. Laryngoscope 96: 10211023.CrossRefGoogle ScholarPubMed
Lang, R., Goshen, S., Kitzes-Cohen, R., Sade, J. (1990) Successful treatment of malignant external otitis with oral ciprofloxacin: report of experience with 23 patients. Journal of Infectious Diseases 161: 537540.CrossRefGoogle ScholarPubMed
Leggett, J. M., Prendergast, K. (1988) Malignant otitis externa: the use of oral ciprofloxacin. Journal of Laryngology and Otology 102: 5354.CrossRefGoogle ScholarPubMed
Mader, J. T., Love, J. T. (1982) Malignant external otitis: cure with adjunctive hyperbaric oxygen therapy. Archives of Otolaryngology 108: 3840.CrossRefGoogle ScholarPubMed
Meltzer, P. E., Kelemen, G. (1959) Pyocutaneous osteomyelitis of the temporal bone, mandible and zygoma. Laryngoscope 169: 13001316.CrossRefGoogle Scholar
Mendelson, D. S., Som, P. M., Mendelson, M. H., Parisier, S. C. (1983) Malignant external otitis: the role of computed tomography and radionuclides in evaluation. Radiology 149: 745749.CrossRefGoogle ScholarPubMed
Nadol, J. B. (1980) Histopathology of pseudomonas osteomyelitis of the temporal bone starting as malignant external otitis. American Journal of Otolaryngology 1: 359.CrossRefGoogle ScholarPubMed
Parisier, S. C., Lucente, F. E., Som, P. M., Hirschman, S. Z., Arnold, L. M., Roffman, J. D. (1982) Nuclear scanning in necrotizing progressive ‘malignant’ external otitis. Laryngoscope 92: 10161019.CrossRefGoogle ScholarPubMed
Reiter, D., Bilaniuk, L. T., Zimmerman, R. A. (1982) Diagnostic imaging in malignant otitis externa. Otolaryngology – Head and Neck Surgery 90: 606609.CrossRefGoogle ScholarPubMed
Rubin, J., Yu, V. L. (1988) Malignant external otitis: insights into pathogenesis, clinical manifestations, diagnosis and therapy. American Journal of Medicine 85: 391398.CrossRefGoogle ScholarPubMed
Shupak, A., Greenberg, E., Hardoff, R., Gordon, C., Melamed, Y., Meyer, W. S. (1989) Hyperbaric oxygenation for necrotizing (malignant) otitis externa. Archives of Otolaryngology – Head and Neck Surgery 115: 14701475.CrossRefGoogle ScholarPubMed
Strashun, A. M., Nejatheim, M., Goldsmith, S. J. (1984) Malignant external otitis: early scintigraph detection. Radiology 150: 541545.CrossRefGoogle ScholarPubMed
Strauss, M., Aber, R. C., Conner, G. H., Baum, S. (1982) Malignant external otitis: long-term (months) antimicrobial therapy. Journal of Laryngology and Otology 92: 397405.Google ScholarPubMed