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Case Reports
. 2008 Aug;265(8):907-10.
doi: 10.1007/s00405-008-0696-7. Epub 2008 May 28.

Necrotizing otitis externa: a painless reminder

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Case Reports

Necrotizing otitis externa: a painless reminder

Daniel Thio et al. Eur Arch Otorhinolaryngol. 2008 Aug.

Abstract

Necrotizing otitis externa is a necrotizing osteomyelitis of the skull base that predominantly affects diabetic and immunocompromised patients. Pseudomonas aeruginosa is the most frequently implicated organism. Patients present with severe otalgia, otorrhoea with or without facial palsy, or rarely, facial pain as a symptomatic feature. We report a case of necrotizing otitis externa presenting with totally painless otorrhoea and highlight the need for a high index of suspicion when treating patients with otitis externa.

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