Necrotizing / Malignant Otitis Externa
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