Clinical, epidemiological and therapeutical characterization of patients with malignant external otitis

• Main Authors: Glennis Mojena Rodríguez, Francisca Santisteban Aguilera, Yusbel García Alarcón, Yenicet Rodríguez Martínez, Ariadna Elvia Cardero Ruiz
• Format: Article
• Language: Spanish
• Published: Centro Provincial de Información de Ciencias Médicas 2017-03-01
• Series: Medisan
• Subjects: otitis externa maligna, conducto auditivo externo, diabetes mellitus, ciprofloxacino, tratamiento antimicrobiano, pseudomonas aeruginosa.
• Online Access: http://medisan.sld.cu/index.php/san/article/view/1341

A descriptive, serial cases study, of 42 patients with malignant external otitis was carried out. They were assisted in the Otolaryngology Service of “Saturnino Lora Torres” Teaching Clinical Surgical Provincial Hospital in Santiago de Cuba from January, 2002 to December, 2014 and treated basically with ciprofloxacin, in order to characterize them clinical, epidemiological and therapeutically, as well as to determine their clinical course with the suitable treatment.  A second group of 29 members with the same disorder was also included who received other antibiotics during those 12 years, treated in this Service during that period.  Among the main results there was a prevalence of the 55-64 years age group (30.6%) in which ciprofloxacin was used and over 75 years (74.8%) in which other antimicrobians were indicated; of the time in the diabetes mellitus course 0-10 years in 24 (57.1%) of those who received ciprofloxacin and in 14 (48.2%) of those that didn't consume it and of the Pseudomonas aeruginosa as the most frequently isolated germ. The patients had a favorable clinical course, no matter the antimicrobian prescribed treatment, but all the patients treated with ciprofloxacin got better or were cured and were discharged in less than 30 days. It was concluded that the advanced age favors the emergence of the malignant external otitis, no matter the time of the diabetes mellitus course.