Necrotizing external otitis treated with ciprofloxacin. A case report

Necrotizing (malignant) external otitis is a severe infection caused by Pseudomonas aeruginosa which occurs mainly in elderly diabetics or in immuno-depressed patients (Chandler, 1968). The management of this condition requires the association between an aminoglycoside antibiotic and an antipseudomo...

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Bibliographic Details
Published inJournal of laryngology and otology Vol. 102; no. 7; p. 606
Main Authors Sabater, F, Mensa, J, Doménech, J, Loncá, M, Carulla, M
Format Journal Article
LanguageEnglish
Published England 01.07.1988
Subjects
Aged
Ciprofloxacin - therapeutic use
Humans
Male
Necrosis
Otitis Externa - diagnostic imaging
Otitis Externa - drug therapy
Otitis Externa - pathology
Tomography, X-Ray Computed
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Summary:Necrotizing (malignant) external otitis is a severe infection caused by Pseudomonas aeruginosa which occurs mainly in elderly diabetics or in immuno-depressed patients (Chandler, 1968). The management of this condition requires the association between an aminoglycoside antibiotic and an antipseudomonal beta-lactamic, given parenterally during a 4 to 6 week period. Sometimes it is necessary to continue the therapy for months until there is no evidence of residual disease (Strauss et al., 1982). Ciprofloxacin is a quinolone with antipseudomonal activity which can be taken orally, and it is a useful alternative to the current treatment. The authors report a case of necrotizing external otitis which was successfully treated with ciprofloxacin.
ISSN:0022-2151
1748-5460
DOI:10.1017/s0022215100105857