Malignant otitis externa

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A diabetic patient came in with severe ear ache not responding to oral painkillers.. Ear examination showed swelling of the external auditory meatus.. CT showed a bony defect in the anteroinferior wall of the external auditory meatus, ESR was raised and culture showed staph aureus. Started on linezolid and gentamycin...later converted to oral antibiotics and currently following via ESR and repeated culture reports.

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