Necrotizing otitis externa: diagnosis, treatment, and outcome in a case series

详细信息    查看全文

• 作者：Eran Glikson^a ; ¹ ; ^{Eran.Glikson@sheba.health.gov.il} ; Doron Sagiv^a ; ¹ ; Michael Wolf^a ; ^b ; Yisgav Shapira^a ; ^b
• 关键词：Necrotizing ; Otitis externa ; Skull-base osteomyelitis ; Otogenic ; Antibiotic resistance ; Fungal infection
• 刊名：Diagnostic Microbiology and Infectious Disease
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：87
• 期：1
• 页码：74-78
• 全文大小：204 K
• 卷排序：87

文摘

A delay of NOE diagnosis exists, affecting disease outcome. P. aeruginosa was the main causative organism (50%), with a 30% multidrug-resistance rate. A high rate (35%) of fungal pathogens was noted. Treatment with a single antibiotic agent may be insufficient. Treatment should be altered according to microbiologic culture results. Cranial neuropathies and CT finding of adjacent structural involvement correlate with adverse prognosis. We state the importance of limited surgical intervention and microbiologic cultures in disease treatment.