Severe Bilateral Otitis Externa was the First Manifestationof Newly Diagnosed Diabetes Mellitus, Case Report

Abstract

Otitis externa may be restricted to one section or comprise the entire ear canal. The major etiological factors are bacteria, fungi and viruses. Skin injuries caused by cleaning the ear, skin maceration secondary to chronic discharge from the ear, rare causes of the otitis externa also include foreign bodies inserted into the ear for fun and curiosity. Usually, otitis externa affects one ear and the presence of bilateral and severe otitis externa should raise suspicion of a systemic disease like diabetes, and immunodeficiency disorders predispose to the infection development.