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BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5572
  • Unusual presentation of more common disease/injury

Diffuse large B-cell lymphoma: an unusual cause of severe otalgia and facial palsy

  1. Prodip K Das-Purkayastha1
  1. 1Department of Otolaryngology, Brighton and Sussex University Hospitals, Brighton, UK
  2. 2Department of Neuroradiology, Brighton and Sussex University Hospitals, Haywards Heath UK
  3. 3Department of Haematology, Brighton and Sussex University Hospitals, Brighton, UK
  4. 4Brighton and Sussex Medical School, University of Sussex, Falmer, Brighton, UK
  1. Correspondence to Mr Prodip K Das-Purkayastha, prodip.das{at}bsuh.nhs.uk

An elderly woman, two months after chemotherapy for diffuse large B-cell lymphoma, presented with left-sided otalgia, discharge and facial nerve palsy. MRI showed an active left mastoid infection with an ear canal lesion, likely to be a cholesteatoma. However, a biopsy of the mass showed recurrent high-grade lymphoma. Following diagnosis, the patient opted for palliative care within the community and consequently passed away a few weeks later.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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