scholarly journals Facial nerve palsy in otitis externa: A red flag?

2021 ◽  
Vol 16 (1) ◽  
pp. 117-120
Author(s):  
Aliyya Badaruddin ◽  
May May Choo
Keyword(s):  
External Auditory Canal ◽  
Facial Palsy ◽  
Otitis Externa ◽  
Facial Nerve Palsy ◽  
Early Recognition ◽  
Invasive Infection ◽  
Necrotizing Otitis Externa ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Red Flag

Otitis externa is an infection of the external auditory canal. It rarely results in facial palsy except in severe cases such as necrotizing otitis externa, which is a life-threatening invasive infection of the external auditory canal. Early recognition with prompt and appropriate treatment of necrotizing otitis externa is crucial to prevent more sinister complications. Here we report a case of an elderly gentleman who presented with otitis externa and developed facial palsy a month later. We identified possible problems that may have led to the complication so that such an occurrence can be prevented in the future.

scholarly journals Malignant otitis externa in a 21-year-old male patient with Prader–Willi syndrome

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983482
Author(s):  
Marcos Frata Rihl ◽  
Felipe Marchiori Bau ◽  
Igor de Oliveira ◽  
Manoela Astolfi Vivan ◽  
Roseane Cardoso Marchiori
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Male Patient ◽  
Otitis Externa ◽  
Invasive Infection ◽  
Prader Willi Syndrome ◽  
Malignant Otitis Externa ◽  
Life Threatening

Malignant otitis externa is an invasive infection of the external auditory canal and temporal bone with potentially life-threatening complications. Elderly patients with type 2 diabetes mellitus are the population most commonly affected by malignant otitis externa, but any type of immunosuppression predisposes to the disease. Prader–Willi syndrome is a genetic cause of obesity, often associated with insulin resistance and type 2 diabetes mellitus. This report describes a case of a 21-year-old male patient with Prader–Willi syndrome who had malignant otitis externa that progressed to sepsis during hospitalization. To the best of the authors’ knowledge, this is the first description of malignant otitis externa in a young patient with Prader–Willi syndrome.

scholarly journals A Rare and Fatal Complication of a Self-Limiting Infection: A Case Report on Dengue Associated Hemophagocytic Lymphohistiocytosis

2019 ◽  
Vol 30 (2) ◽  
pp. 93-95
Author(s):  
Alvin Oliver Payus ◽  
Cheong Lei Wah ◽  
Syahrul Sazliyana Shaharir
Keyword(s):  
Case Report ◽  
Hemophagocytic Lymphohistiocytosis ◽  
Autosomal Recessive ◽  
De Novo ◽  
Medical Condition ◽  
Early Recognition ◽  
Genetic Disorder ◽  
Intravenous Methylprednisolone ◽  
Appropriate Treatment ◽  
Life Threatening

Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening medical condition characterized by hyperphagocytosis secondary to an inappropriate over-activation of macrophages and lymphocytes that driven by excessive cytokines production which resulted in cellular destructions. It can arise de novo as a result of an autosomal recessive genetic disorder, or in the background of an infection, malignancy or autoimmune disease. Dengue fever is one of the uncommon causes of infection related secondary HLH. Here, we present a case of a Dengue associated HLH which was successfully treated with intravenous methylprednisolone and immunoglobulin G. In conclusion, the purpose of this case report is to illustrate the importance of early recognition and prompt initiation of the appropriate treatment for HLH suspected patient whom otherwise has high mortality rate. Bangladesh J Medicine July 2019; 30(2) : 93-95

Paralysis from an ear infection: a severe case of otitis externa leading to acute complete cervical cord syndrome

2021 ◽  
Vol 14 (12) ◽  
pp. e245594
Author(s):  
Rachael Collins ◽  
George Lafford ◽  
Laura Parry
Keyword(s):  
Otitis Externa ◽  
Severe Case ◽  
Complete Recovery ◽  
Cervical Cord ◽  
Team Approach ◽  
Neck Stiffness ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Red Flag

We report a case of a generally fit and well 54-year-old man who presented with a 2-day history of worsening left-sided otorrhea, headache, neck stiffness, vomiting and fever on the background of a 7-week history of otitis externa (OE). His condition progressed dramatically as he developed symptoms consistent with acute complete cervical cord syndrome with radiological evidence of skull base osteomyelitis, parapharyngeal, retropharyngeal and paravertebral abscesses and sigmoid sinus thrombus. Ultimately, he made a significant, although not complete, recovery. This case is unique in demonstrating how OE can develop into a potentially life threatening condition. It emphasises the importance of early diagnosis and treatment of OE, the recognition of ‘red flag’ symptoms and highlights the importance of a multidisciplinary team approach when managing complex complications of OE.

scholarly journals Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Jenny Walton ◽  
Chris Coulson
Keyword(s):  
Otitis Externa ◽  
Facial Nerve Palsy ◽  
Antifungal Drugs ◽  
Tissue Sampling ◽  
Tissue Biopsy ◽  
Malignant Otitis Externa ◽  
Threatening Condition ◽  
Life Threatening ◽  
Low Sensitivity ◽  
Aids Diagnosis

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.

Dysphagia due to necrotizing otitis externa

2021 ◽  
Author(s):  
Rajesh Dwivedi ◽  
Melroy Rasquinha ◽  
Rowan Harwood
Keyword(s):  
External Auditory Canal ◽  
Otitis Externa ◽  
Sinus Thrombosis ◽  
Oropharyngeal Dysphagia ◽  
Lower Cranial Nerve ◽  
Venous Sinus Thrombosis ◽  
Necrotizing Otitis Externa ◽  
Intravenous Antibiotics ◽  
Patient Reported ◽  
High Index Of Suspicion

Abstract An 88-year-old man presented with delirium, and subsequently developed hoarseness and oropharyngeal dysphagia. This was due to skull-based osteomyelitis from necrotizing otitis externa (NOE), causing lower cranial nerve (X, XII) palsies and venous sinus thrombosis. Diagnosis was delayed as the patient reported no otalgia, had an almost normal looking external auditory canal and was not diabetic. He deteriorated and died despite intravenous antibiotics. We need a high index of suspicion for NOE and its complications in patients presenting with otolaryngeal symptoms.

Anaphylaxis and other allergic reactions to food: a global challenge

2020 ◽  
Vol 13 (5) ◽  
pp. e231425
Author(s):  
Antonio Jose Reyes ◽  
Amanda Sheena Hosein ◽  
Kanterpersad Ramcharan ◽  
Sean Perot
Keyword(s):  
Early Recognition ◽  
Public Awareness ◽  
Successful Outcome ◽  
Allergic Reactions ◽  
Global Challenge ◽  
Link Type ◽  
Preventative Measures ◽  
Appropriate Treatment ◽  
Threatening Condition ◽  
Life Threatening

We describe a case of a biphasic anaphylactic reaction that occurred in a young woman soon after the ingestion of soy milk that led to her hospitalisation. Early recognition and appropriate treatment led to a successful outcome of this life-threatening condition. Challenges encountered in the care of this common illness are highlighted. There is a need for an increase in public awareness on dangerous allergic reactions caused by allergens present in food products in public use, thereby facilitating primary preventative measures to minimise its occurrence. Healthcare stakeholders need to implement measures of contemporary preventative medicine and efficient therapeutic protocols to safeguard the public welfare concerning this global health problem where appropriate interventions can reduce morbidity and mortality. Trial registration numbers NCT02991885 and NCT02851277.

scholarly journals Case report of Anotia with ipsilateral facial nerve palsy

2019 ◽  
Vol 7 (9) ◽  
pp. 3583
Author(s):  
Qasem Buhaibeh ◽  
Sulaiman Madad ◽  
Tawfik Dhaiban
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Adult Patient ◽  
External Auditory Canal ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Severe Form ◽  
Rare Report

Anotia is the severe form of microtia anomalies that involve pinna and external auditory canal  present at birth is rare to be associated with congenital facial nerve palsy. The author reports a man with Right side Anotia and ipsilateral facial nerve palsy. This is rare report of such an association in adult patient had right Anotia and ipsilateral right facial palsy.

scholarly journals Increasing burden of necrotizing otitis externa: our experience of 38 cases

2021 ◽  
Vol 7 (5) ◽  
pp. 853
Author(s):  
Dheeraj Lambor ◽  
Kanhai R. Naik ◽  
Carnegie DeSa ◽  
Swati Lambor ◽  
Ruby Samuel
Keyword(s):  
Otitis Externa ◽  
Nerve Palsy ◽  
Clinical Presentation ◽  
Facial Nerve Palsy ◽  
Treatment Modalities ◽  
Diabetic Patients ◽  
Significant Morbidity ◽  
Necrotizing Otitis Externa ◽  
Objective Being ◽  
Antibiotic Combination

<p><strong>Background: </strong>Necrotizing otitis externa is an infection affecting immune-compromised and elderly diabetic patients resulting in complications with significant morbidity and mortality. We present our experience with this disease, along with the investigative tools and treatment modalities that benefitted most. The objective being to analyze the course of the disease and the benefit of having an institutional protocol for its management.</p><p><strong>Methods: </strong>This is a retrospective observational study on patients diagnosed with necrotizing otitis externa between 2013-2019.</p><p><strong>Results: </strong>Out of 38 patients 36 were diabetics, the commonest clinical presentation included otalgia in 37 patients, granulations in 35, facial nerve palsy in 14 and <em>Pseudomonas aeruginosa</em> was isolated in 19 patients. They were managed with multidrug combination antibiotic therapy, topical dressing and drops with 27 showing improvement.</p><p><strong>Conclusions: </strong>We recommend a diagnostic triad for NOE comprising of otalgia in an elderly diabetic patient with granulations in the external auditory canal. It is best managed by controlling diabetes, appropriate antibiotic combination, topical dressing, and sometimes surgical debridement.</p>

Facial nerve palsy as a complication of ear syringing

2012 ◽  
Vol 126 (7) ◽  
pp. 714-716 ◽  
Author(s):  
A M Thomas ◽  
B Poojary ◽  
H C Badaridatta
Keyword(s):  
Facial Nerve ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
Nerve Palsy ◽  
Surgical Intervention ◽  
Facial Nerve Palsy ◽  
Unusual Complication ◽  
Vestibular Loss ◽  
Case Presentation ◽  
Dramatic Presentation

AbstractIntroduction:Syringing of the ear is one of the most common procedures performed for cleaning cerumen from the external auditory canal. Common complications following syringing are pain, external auditory canal trauma and otitis externa. Hearing and vestibular loss have also been reported as complications. However, we are unaware of any report of facial nerve palsy as a complication of ear syringing. Such a case is reported.Case presentation:We describe a case of facial nerve palsy as a complication of syringing, which demonstrates the dramatic presentation of this condition and emphasises the need for great care while syringing the ears.Conclusion:It is important to be aware of this unusual complication with its distinctive presentation. Surgical intervention should be undertaken at the earliest opportunity, for favourable results. A risk-minimising strategy for ear syringing is recommended.

scholarly journals Intracranial Subdural Hematoma after Spinal Anesthesia for Cesarean Section

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Vittorio Schweiger ◽  
Giovanni Zanconato ◽  
Gisella Lonati ◽  
Silvia Baggio ◽  
Leonardo Gottin ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Subdural Hematoma ◽  
Early Recognition ◽  
Neurologic Impairment ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Subdural Bleeding ◽  
Obstetric Population ◽  
Persistent Headache

Intracranial subdural hematoma following spinal anesthesia is an infrequent occurrence in the obstetric population. Nevertheless, it is a potentially life-threatening complication. In the majority of the cases, the first clinical symptom associated with intracranial subdural bleeding is severe headache, but the clinical course may have different presentations. In this report, we describe the case of a 38-year-old woman with an acute intracranial subdural hematoma shortly after spinal anesthesia for cesarean section. Early recognition of symptoms of neurologic impairment led to an emergency craniotomy for hematoma evacuation with good recovery of neurologic functions. The possibility of subdural hematoma should be considered in any patient complaining of severe persistent headache following regional anesthesia, unrelieved by conservative measures. Only early diagnosis and an appropriate treatment may avoid death or irreversible neurologic damage.

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