Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis | Zendy

Jenny Walton | Zendy; Chris Coulson | Zendy

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Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis

Author(s) -

Jenny Walton,

Chris Coulson

Publication year - 2014

Publication title -

case reports in otolaryngology

Language(s) - English

Resource type - Journals

eISSN - 2090-6765

pISSN - 2090-6773

DOI - 10.1155/2014/192318

Subject(s) - medicine , voriconazole , otitis , biopsy , auditory canal , facial nerve palsy , facial nerve , ear canal , surgery , sampling (signal processing) , antifungal , dermatology , palsy , intensive care medicine , radiology , pathology , alternative medicine , filter (signal processing) , computer science , computer vision

Fungal malignant otitis externa (FMOE) is a serious and potentially life-threatening condition that is challenging to manage. Diagnosis is often delayed due to the low sensitivity of aural swabs and many antifungal drugs have significant side effects. We present a case of FMOE, where formal tissue sampling revealed the diagnosis and the patient was successfully treated with voriconazole, in addition to an up to date review of the current literature. We would recommend tissue biopsy of the external auditory canal in all patients with suspected FMOE in addition to routine microbiology swabs.

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