Necrotising otitis externa: an unusual cause of cranial nerve palsy in a diabetic haemodialysis patient

被引：0
作者：
Thompson, A. C. M. [1 ]
Zammit-Maempel, I.
Stafford, F. [2 ]
Narayanan, M.
Kanagasundaram, N. S. [3 ]
机构：
[1] Newcastle Tyne Hosp NHS Fdn Trust, Core Med Training, Northern Deanery, Newcastle Upon Tyne, Tyne & Wear, England
[2] Newcastle Tyne Hosp NHS Fdn Trust, Ear Nose Throat, Newcastle Upon Tyne, Tyne & Wear, England
[3] Newcastle Tyne Hosp NHS Fdn Trust, Renal Med, Newcastle Upon Tyne, Tyne & Wear, England
来源：
JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH | 2010年 / 40卷 / 01期
关键词：
Aspergillus flavus; diabetes mellitus; haemodialysis; malignant otitis externa; necrotising otitis externa; Proteus mirabilis; Pseudomonas aeruginosa;
D O I：
10.4997/JRCPE.2010.106
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We present an unusual case of necrotising otitis externa (NOE) causing a lower motor neurone facial nerve palsy in a patient with diabetes mellitus and receiving maintenance haemodialysis for end-stage renal disease (ESRD). Pseudomonas aeruginosa is the most common pathogen isolated in NOE, although our case involved the non-typical pathogens Aspergillus flavus and Proteus mirabilis. We discuss the need for diagnostic rigour and the importance of considering atypical infective pathology in patients with ESRD or diabetes mellitus. We review NOE with reference to causative agents, imaging strategies, prognostic indicators and treatment.
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页码：26 / 28
页数：3
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