The aim of this paper is to evaluate a clinical series of patients affected by Malignant Otitis Externa, evaluated and treated at the University Hospital of Ferrara and discuss the current literature on the topic. Malignant otitis externa (MOE) is a rare aggressive and necrotizing infection of the external auditory canal and the temporal bone which may have a poor prognosis if treatment is not performed promptly and adequately. It is most commonly reported in male, elderly, diabetic and immunocompromised individuals. Pseudomonas aeruginosa is the main pathogenic agent involved. The present study has been conducted retrospectively. A total of 8 cases were evaluated and treated between January 2012 and December 2016. We collected all data concerning the clinical history, imaging and treatment. The microbiological examination disclosed the presence of P. aeruginosa in all cases; the infection was eventually controlled in all the cases, after a median time of 6 months of therapy. All patients have been followed-up for an average time of 12 months after the resolution of the infection. Actually, specific guidelines for MOE treatment are yet not available in the literature: we therefore discuss among different treatment options available and we propose a diagnostic and therapeutic flow-chart for this infection.
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|Titolo:||Interdisciplinary management of Malignant Otitis Externa in the antibiotic resistance era: a key to a successful treatment|
|Data di pubblicazione:||2018|
|Appare nelle tipologie:||03.1 Articolo su rivista|