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

作者信息

Thompson A C, Zammit-Maempel I, Stafford F, Narayanan M, Kanagasundaram N S

机构信息

Department of Renal Medicine, Freeman Hospital, High Heaton, Newcastle upon Tyne NE77DN, UK.

出版信息

J R Coll Physicians Edinb. 2010 Mar;40(1):26-8. doi: 10.4997/JRCPE.2010.106.

DOI:10.4997/JRCPE.2010.106
PMID:21125035
Abstract

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.

摘要

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