Malignant Otitis Externa

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This is a necrotising infection of the ear canal in patients who are immunosuppressed. Often the first presentation and should alert the physician of immunosuppression from any cause e.g. diabetes, HIV etc.

Initiate IV antibiotics with a penicillin as above

Medicine

Medicine	Adult Dose	Frequency	Duration
ciprofloxacin po	500mg	2 times a day	12 weeks

Add: Intravenous fluids

Debridement - refer immediately