nayyarENT Thursday Grand Round No. 2

68 yrs old male reported with complains of severe pain right ear associated with foul smelling otorrhoea and hearing loss rt ear for past 3 days. Patient had shown to a local doctor who prescribed oral amoxicillin and chloramphenical ear drops but there is no improvement. presently is febrile with mild pain in backside of neck as well. Patient is a known case of NIDDM for past 25 yrears but not taking medications regulary.

Q no 1. Give a differential diagnosis.

Q no. 2 What is the possible causative organism/pathogen.

Q no. 3 Which oral and topical antibiotic will you like to prescribe.

Q no. 4 What can be the possible complications.

Q no. 5 How will you manage this case.