Otitis externa is a prevalent form of ear infection. It arises in the ear canal leading to the eardrum. When it comes to malignant otitis externa, it is usually caused by bacterial strains specifically staphylococcus aureus and pseudomonas aeruginosa.
What are the signs?
The indications of malignant otitis externa typically include:
- Persistent and foul-smelling yellowish or greenish discharge from the ear
- Fever
- Ear pain that is aggravated by head movement
- Continuous itchiness of the ear canal
- Weakening of the facial muscles
- Difficulty swallowing
- Loss of voice or laryngitis
- Engorged and reddened skin around the affected ear
In case any of these symptoms manifest, a doctor must be seen right away. Prompt treatment can stop the infection from spreading.
Management of malignant otitis externa
Antibiotics
Antibiotics are generally given in managing malignant otitis externa. The drug must be taken for several months, usually intravenously in severe cases.
Surgery
Surgery is required if there is significant tissue damage due to the infection. The procedure involves the removal of the damaged tissues.
What is the outlook?
If the individual has a weak or compromised immune system, the infection might recur. The recurrent infections can result to impairment of the cranial nerves and the brain. The spread of the infection to the brain is considered rare but can result to lasting injury and even death.