Paul A C, Justus A, Balraj A, Job A, Kirubakaran C P
Department of Child Health, Christian Medical College and Hospital, Vellore 632004, Tamil Nadu, India.
Int J Pediatr Otorhinolaryngol. 2001 Aug 20;60(2):141-5. doi: 10.1016/s0165-5876(01)00483-9.
The occurrence of malignant otitis externa (MOE) in infancy is rare. We report a case of MOE in a neonate who was later identified to have selective IgA deficiency. She was successfully treated with oral ciprofloxacin, but developed external auditory canal stenosis, a deformed pinna, persistent facial nerve palsy, temporal bone erosion and hearing loss. No cases of MOE in selective IgA deficiency have been reported in literature. This is also the first report on the use of ciprofloxacin in infants with MOE.
婴儿期恶性外耳道炎（MOE）的发生较为罕见。我们报告一例新生儿MOE病例，该患儿后来被诊断为选择性IgA缺乏症。她通过口服环丙沙星成功治愈，但出现了外耳道狭窄、耳廓畸形、持续性面神经麻痹、颞骨侵蚀和听力损失。文献中未报道过选择性IgA缺乏症合并MOE的病例。这也是关于环丙沙星用于婴儿MOE治疗的首例报告。
