Table 2.
Patient # | Clinical findings on admission | Complications | Culture | Combined parenteral antibiotic therapy | Performed surgery |
---|---|---|---|---|---|
1 | Otalgia, severe headache, polyp in EAC, swollen EAC, TM perforation, otorrhea | Facial nerve paresis meningitis, sepsis | Pseudomonas aeruginosa | Ciprofloxacin, ceftriaxone, clindamycin | Removal of the polyp from the external auditory canal, decompression of the facial nerve, antromastoidectomy, tympanoplasty |
2 | Severe headache, otorrhea, TM perforation | Facial nerve paresis | Pseudomonas, Aspergillus flavus | Vancomycin, itraconazole, ciprofloxacin | Radical mastoidectomy |
3 | Severe otalgia | – | Negative | Ciprofloxacin | – |
4 | Headache, hoarseness, vocal fold palsy, soft palate paresis, otalgia | Vagal nerve and glossopharyngeal nerve paresis | Negative | Ceftriaxone, metronidazole | Parapharyngeal space drainage |
5 | Swollen mastoid | – | Negative | clindamycin, amoxicillin and clavulanate acid | – |
6 | Otalgia, swollen EAC, swollen mastoid, TM perforation, otorrhea | – | Negative | Amoxicillin and clavulanate acid, metronidazole | Antromastoidectomy, tympanoplasty |
7 | Otalgia, reddened TM, swollen mastoid | – | Negative | Ciprofloxacin | – |
EAC external auditory canal, TM tympanic membrane