IDCases 2020 5;22:e00945. Epub 2020 Sep 5.
Hospital Universitário Antônio Pedro, Universidade Federal Fluminense, Department of Otorhinolaryngology, Marques do Parana Street, 303. Niterói, Rio de Janeiro, Brazil.
Malignant external otitis (MEO) is a rare inflammatory and infectious condition, typically caused by , that mainly affects diabetic or immunocompromised elderly patients and is associated with severe morbidity and mortality. It begins in the external auditory canal and rapidly progresses through the skull base, leading to osteomyelitis and may result in cranial neuropathy, especially of the facial nerve. Here we describe a rare neurological presentation of MEO in a 65-year old diabetic man, who presented with an 8-month progressing left otitis externa and evolved with ipsilateral proptosis, ophthalmoplegia, blindness, facial palsy, hearing loss and contralateral evolvement of the temporal bone with hearing impairment. Read More