BMJ Case Reports 2011; doi:10.1136/bcr.03.2011.3957
  • Rare disease

A rare case of bilateral malignant otitis externa and osteomyelitis with lower cranial nerve sequelae

  1. Chady Sader
  1. ENT Department, Fremantle Hospital, Perth, Western Australia, Australia
  1. Correspondence to Dr Travis William Leahy, travis.leahy{at}


The authors present the case of a 76-year-old male who presented with right-sided recurrent malignant otitis externa (MOE) and skull-base osteomyelitis. His management involved aggressive antimicrobial therapy and multiple hyperbaric oxygen treatments. After resolution of his right-sided infection, the patient returned a short time later with symptoms and findings consistent with new, left-sided MOE with involvement of the left skull-base. With repeat treatment, the patient is now cured of his infection but poses a challenge to the treating team about future management.


  • Competing interests None.

  • Patient consent Obtained.

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