A 50-year-old man with poorly controlled diabetes presents with severe right ear pain, otorrhea, and granulation tissue in the external auditory canal...

Question

A 50-year-old man with poorly controlled diabetes presents with severe right ear pain, otorrhea, and granulation tissue in the external auditory canal. CT shows extension of infection into the skull base. What is the most likely diagnosis?

Accepted Answer

Necrotizing (malignant) otitis externa

Answer

Acute otitis externa

Answer

Chronic otitis media

Answer

Cholesteatoma

Answer

Temporal arteritis

us-abem MCQ (SBA): Necrotizing otitis externa

A 50-year-old man with poorly controlled diabetes presents with severe right ear pain, otorrhea, and granulation tissue in the external auditory canal. CT shows extension of infection into the skull base. What is the most likely diagnosis?