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Necrotizing external otitis (malignant otitis externa) is an uncommon form of external otitis that occurs mainly in elderly diabetics, being somewhat more likely and more severe when the diabetes is poorly controlled. Even less commonly, it can develop due to a severely compromised immune system.
Otomycosis does not usually cause as much canal skin edema as does acute bacterial external otitis.While a severe pressure type of pain is a prominent feature of advanced cases, the ear is usually much less tender, if at all, to traction or tragal pressure.
The most common aetiology of acute otitis externa is bacterial infection, [5] while chronic cases are often associated with underlying skin diseases such as eczema or psoriasis. [6] A third form, malignant otitis externa, or necrotising otitis externa, is a potentially life-threatening, invasive infection of the external auditory canal and ...
Malignant otitis externa is a rare and potentially life-threatening complication of otitis externa in which the infection spreads from the ear canal into the surrounding skull base, hence becoming an osteomyelitis. [16] It occurs largely in diabetic patients. [20]
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As the eardrum is the border between the external ear canal and the middle ear, its characteristics can indicate various diseases of the middle ear space. [ citation needed ] Otoscopic examination can help diagnose conditions such as acute otitis media (infection of the middle ear), otitis externa (infection of the outer ear ), [ citation ...
Here are links to possibly useful sources of information about Otitis externa. PubMed provides review articles from the past five years (limit to free review articles) The TRIP database provides clinical publications about evidence-based medicine. Other potential sources include: Centre for Reviews and Dissemination and CDC
Poulter, Melinda D., and Claudia J. Hinnebusch. "Turicella otitidis in a young adult with otitis externa." Infectious Diseases in Clinical Practice 13.1 (2005): 31–32. Gomez-Garces JL, Alhambra A, Alos JI, Barrera B, García G (2004). "Acute and chronic otitis media and Turicella otitidis: a controversial association". Clin Microbiol Infect.