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Necrotizing external otitis caused by Aspergillus fumigatus: computed tomography and high resolution magnetic resonance imaging in an AIDS patient

Published online by Cambridge University Press:  29 June 2007

Alberto Muñoz*
Affiliation:
Departamento de Radiodiagnóstico, Sección de Neurorradiología, Hospital Universitario 12 de Octubre, Madrid, Spain.
Elena Martínez-Chamorro
Affiliation:
Departamento de Radiodiagnóstico, Sección de Neurorradiología, Hospital Universitario 12 de Octubre, Madrid, Spain.
*
Address for correspondence: A. Muñoz, Departamento de Radiodiagnóstico, Sección de Neurorradiología, Hospital Universitario 12 de Octubre, Carretera de Andalucía Km. 5,4. 28041 Madrid, Spain. Fax: 34-1-390-82-68

Abstract

Most necrotizing (malignant) external otitis (NEO) occurs in diabetic patients and is commonly caused by Pseudomonas aeruginosa. We report an acquired immunodeficiency syndrome (AIDS) patient with NEO caused by Aspergillus fumigatus in which computed tomography (CT) showed destructive petrous bone involvement and magnetic resonance imaging (MRI) of the ear discovered extensive soft tissue and facial nerve involvement. Dedicated MRI studies of the ear in this type of pathology provide new insights relating to nerve dysfunction, that cannot be obtained with CT.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1998

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