Illing E, Zolotar M, Ross E, Olaleye O, Molony N
Russells Hall Hospital, Dudley, UK.
J Surg Case Rep. 2011 May 1;2011(5):6. doi: 10.1093/jscr/2011.5.6.
Malignant otitis externa associated with skull base osteomyelitis is a condition seen classically in the elderly, diabetic patient. This disease is difficult to manage, often requiring long-term antibiotic therapy. Here we present such a case, seen in a 74- year-old lady. Initially, she was treated for a number of years in the outpatient department with intermittent ear complaints, but eventually required a hospital admission that lasted for 6 months due to a severe malignant otitis externa complicated by skull base osteomyelitis. We will discuss the clinical features, diagnostic criteria, imaging and management of this life-threatening clinical entity.
与颅底骨髓炎相关的恶性外耳道炎是一种典型见于老年糖尿病患者的病症。这种疾病难以治疗，通常需要长期抗生素治疗。在此我们呈现这样一个病例，是一位74岁女性。起初，她在门诊因间歇性耳部不适接受了数年治疗，但最终因严重的恶性外耳道炎并发颅底骨髓炎而需要住院6个月。我们将讨论这种危及生命的临床病症的临床特征、诊断标准、影像学表现及治疗方法。
