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Year : 2019  |  Volume : 21  |  Issue : 1  |  Page : 13-18

Clinical Review of Necrotizing Otitis Externa, a single center experience

1 Department of Otolaryngology, King Abdulaziz Medical City, Jeddah, Saudi Arabia (MBBS), Saudi Arabia
2 Department of Otolaryngology, East Jeddah Hospital, Jeddah, Saudi Arabia (MBBS), Saudi Arabia
3 Department of Otolaryngology, King Khaled Hospital, Tabouk, Saudi Arabia (MBBS), Saudi Arabia
4 Department of Otolaryngology, Ha'il University, Ha'il, Saudi Arabia (MBBS), Saudi Arabia
5 ENT Consultant, Otology and Cochlear Implant Surgeon , Formerly Head of Cochlear Implant Program, King Fahad Hospital, Jeddah, Saudi Arabia

Correspondence Address:
Khalid Alshaikh
P.O.Box 10462, Jeddah 21433
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.277841

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Background: Necrotizing otitis externa defined as an infectious disease affecting external auditory canal and might involve the mastoid space and base of skull as well, and thus a fatal neurological complications if left untreated. Generally; there’s an emergence of antibiotics resistance have been reported as well as a various causative organisms. Objectives: To investigate the clinical presentation, related co-morbidities, antimicrobial patterns, and associated complications. Patients and Methods: This is a case series of patients with diagnosis of necrotizing otitis externa who admitted and treated at otolaryngology department, king Fahad hospital, Jeddah from üctober-2007 to üctober-2017. Detailed medical data were reviewed included demographics, clinical presentation, antimicrobial sensitivity, and clinical outcome. Results: Fourteen patients with NOE were treated at our institution, of these, eleven were male and three were female. All the included patients were diabetic and they had aural polyp. Ear discharge was the most common presenting symptoms. Eight cultures isolated a pseudomonas aeruginosa. All patients received an intravenous antibiotics either monotherapy or combination therapy. The mean hospital stay was 39 days. Zero mortality rate 30 days post discharge. Conclusion: Necrotizing otitis externa remain an aggressive disease with growing bacterial resistance so the choice of antimicrobial should be chosen with cautious. Nevertheless; severe ear pain, and ear discharge in elderly diabetic patients the diagnosis of NOE should be ruled out. Prevalence of pseudomonas aeruginosa is remain quite high, although non-pseudomonal organisms are increasing over should paid.

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