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}

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.


  • Competing interests None.

  • Patient consent Obtained.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article