Fungal malignant otitis externa with facial nerve palsy: tissue biopsy AIDS diagnosis.

Case Rep Otolaryngol

Department of Otorhinolaryngology, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham B15 2WB, UK.

Published: March 2014

Fungal malignant otitis externa (FMOE) is a serious and potentially life-threatening condition that is challenging to manage. Diagnosis is often delayed due to the low sensitivity of aural swabs and many antifungal drugs have significant side effects. We present a case of FMOE, where formal tissue sampling revealed the diagnosis and the patient was successfully treated with voriconazole, in addition to an up to date review of the current literature. We would recommend tissue biopsy of the external auditory canal in all patients with suspected FMOE in addition to routine microbiology swabs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3933303PMC
http://dx.doi.org/10.1155/2014/192318DOI Listing

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