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G. Malignant Otitis Externa (Necrotizing External Otitis)

1.
주 이환군 : 고령, DM, HIV, Immunosuppression patients
2.
진단 (1) 2~3 주간 항생제 치료에도 지속적인 외이도염 유지 (2) Severe otalgia, edema of EAC w/ otorrhea (3) Cranial N. involve (serious sign)
3.
Pathogen (1) P.aeruginosa (m/c) / (2) MRSA / (3) Fungus (immunosuppression pt.)
4.
Treatment (1) Imipenem : in children (2) AG, Antipsuedomonal penicillin, or cephalosporin or quinolone : in adult (3) Advance case : IV antibiotics + surgical debridement.