malignant otitis externa is more common in immunocompromised patients (e.g., elderly, diabetes, HIV, and on immunosuppresants) Risk factors. Diagnosis is often delayed due to the low sensitivity of aural swabs and many antifungal drugs have significant side effects. Otorrhea may be present, and . aeruginosa is a ubiquitous gram negative rod and its. However, all of the patients with Pseudomonas had diabetes, . It affects immunocompromised individuals, particularly those who have diabetes. Pseudomonas aeruginosa is the most isolated microorganism and it affects mostly to . Objective To compare the characteristics and prognosis of patients with malignant (necrotizing) external otitis (MEO) with and without facial nerve palsy in today's era of third-generation antibiotics.. Design Comparative retrospective case series.. malignant otitis externa —is an aggressive infection that predominantly affects people who are immunocompromised, or have diabetes mellitus, or the elderly. Yang TH, Xirasagar S, Cheng YF, et al. to as "malignant otitis externa."2 It is also called "necrotizing external otitis," a term that emphasizes the destructive nature of the infection."Osteitis of the base It is mainly seen in older adults with diabetes or immunocompromised patients and rarely seen in children. Infection extends into ear canal cartilage. Malignant otitis externa (MOE) is an invasive infection of the temporal bone that is classically caused by Pseudomonas aeruginosa. Granulation tissue at the junction between the bone and cartilage in the ear canal (about halfway along) is a key finding that indicates malignant otitis externa. Swimmer's ear - Symptoms and causes - Mayo Clinic malignant otitis externa - General Practice Notebook OBJECTIVE: Malignant external otitis is a severe infection of the external auditory canal and skull base, which most often affects elderly patients with diabetes mellitus. There were also subtle cortical destructions visible in tympanic bone. It is not common. With an ageing population and increasing prevalence of diabetes, the incidence of malignant otitis externa in the British population is rising. . What is Malignant Otitis Externa (MEO)? - Verywell Health Describe the advantages and disadvantages . Other Infections affecting the external ear. Malignant otitis externa | Radiology Case | Radiopaedia.org