[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.87.3. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Clinical Problem Solving: Pathology
Feb 2012

Pathology Quiz Case 1

Author Affiliations
 

SECTION EDITOR: EDWARD B. STELOW, MD

Arch Otolaryngol Head Neck Surg. 2012;138(2):203. doi:10.1001/archoto.2011.1222a

A 61-year-old man presented with severe otalgia and otorrhea. He had a 35-year history of right-sided intermittent otorrhea, aural fullness, and tinnitus and a 3-month history of decreased balance. Topical and systemic antibiotic therapy was initiated, but his symptoms persisted, and new symptoms of severe facial pain and fever developed. He had no history of immunocompromise. Physical examination revealed an edematous, mildly erythematous right external auditory canal, with purulent discharge obscuring the tympanic membrane. There was no pain with movement of the pinna. Temperature, light touch, and sharp and dull stimuli were reduced in the right trigeminal distribution.

First Page Preview View Large
First page PDF preview
First page PDF preview
×