MEO has become a disease recognized by the general medical community. In most instances, it is manifested as a necrotizing external otitis caused byPseudomonas aeruginosain elderly diabetic patients. Rarely, a similarPseudomonasinfection may occur in children. We have reported such a patient and have reviewed the existing four case reports of childhood MEO in the literature. The typical case of MEO of childhood is seen in a child compromised by malnourishment, anemia, and severe infectious or systemic disease. No specific underlying immunologic defect has been reported. Total peripheral facial paralysis is an early presenting symptom, and in all such cases is permanent. All cases of MEO of childhood have been successfully treated with long-term systemic aminoglycosides in combination with carbenicillin or other newer semisynthetic penicillin. Mastoidectomy was performed in three of the five cases.
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