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Use of magnetic resonance imaging as the primary imaging modality in the diagnosis and follow-up of malignant external otitis

Published online by Cambridge University Press:  16 March 2006

H. Ismail ,
W.P. Hellier  and
V. Batty
H. Ismail
Affiliation:
Departments of Otorhinolaryngology and Neuroradiology, Southampton General Hospital, UK.
W.P. Hellier
Affiliation:
Departments of Otorhinolaryngology and Neuroradiology, Southampton General Hospital, UK.
V. Batty
Affiliation:
Departments of Neuroradiology, Southampton General Hospital, UK.
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Abstract

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Malignant external otitis (MEO) is a severe infection of the external auditory meatus caused by Pseudomonas aeruginosa. Classical features include unrelenting deep otalgia, otorrhoea and granulations in the floor of the ear canal. Treatment is generally protracted antibiotic therapy and monitoring of inflammatory markers; the erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Traditionally computed tomography (CT) has been the imaging modality of choice. The authors present a case where magnetic resonance imaging (MRI) has been crucial in the diagnosis and follow up of a patient with MEO.

Keywords

Otitis ExternaMagnetic Resonance ImagingTreatment Outcome
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 118 , Issue 7 , July 2004 , pp. 576 - 579
Copyright
© 2004 Royal Society of Medicine Press