ArticleCureus2025
An Unusual Presentation of Nectrotizing Otitis Externa in an Elderly Patient.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
Necrotizing otitis externa (NOE) is a rare but life-threatening condition that can often be challenging to diagnose. In this case report, we describe a rare presentation of NOE in an 83-year-old man with subtle signs of multiple unilateral cranial nerve palsy (VII, VIII, IX, X, XII). Prior to this, he had a three-month history of bilateral otitis externa, managed with topical and oral antibiotics. NOE was confirmed on CT head, which revealed left-sided skull base osteomyelitis (SBO). A repeat CT scan revealed left sigmoid sinus thrombosis and intracerebral abscess, indicative of disease progression. He was treated with ototopic and long-term systemic antipseudomonal antibiotics but unfortunately he was too frail, with a Clinical Frailty score (CFS) of 7, for further surgical management. The disease progressed despite ward-based treatment and he sadly passed away.
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