Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
종설
만성 경과를 취한 악성외이도염 1례
고의경1, 고영한2, 박형진1, 장민호1
Eui-kyung Goh1, Young-Han Ko2, Hyoung-Jin Park1, Min-Ho Jang1
Published Online: May 31, 2020
ABSTRACT
Malignant external otitis(MEO) is debilitating and occasionally fatal infection of the external auditory canal in elderly diabetes and patients with reduced immunity. Diabetic microangiopathy enhances the vasculitis produced by the Pseudomonas organism. This disease may spread from the external auditory canal through Santorini's fissures to invade the preauricular tissue, and soft tissue at the base of skull. This disease generally has acute fatal course and most frequently caused by Pseudomonas aeruginosa. Recently, the authors experienced a case of malignant external otitis with chronic course, caused by Enterococcus faecalis. So we reported this case with review of literatures.
Keywords: Malignant external otitis; chronic course; Enterococcus faecalis