Note: last updated before 2015
Pathophysiology
Diagnosis
- Imaging
- For diagnosis, obtain Technecium-99 bone scan (in UIHC EPIC, order as "NUC BONE SCAN SPECT". Radiopharmacologist will order Tc99 injection prior to scan
- To evaluate for resolution of disease, obtain Indium-111 tagged WBC scan (in UIHC EPIC, order as "NUC ABSCESS LOCAL LTD, BM, IN-111 WBC/BONE, OSTEO")
Treatment
- Antibiotics, consider double coverage for Pseudomonas
- Zosyn-- adjust dosage if renal disease
- Ciprofloxacin
- PICC
- Consider infectious disease consult
References
(references added 2024 for future updates)
Costa MB, Onishi ET. Necrotizing Otitis Externa: A Proposal for Diagnostic and Therapeutic Approach. Int Arch Otorhinolaryngol. 2023 Sep 26;27(4):e706-e712. doi: 10.1055/s-0042-1758719. PMID: 37876706; PMCID: PMC10593509.