Abstract
Eosinophilic otitis media is an intractable type of otitis media, and is often complicated by severe bronchial asthma and eosinophilic sinusitis.
A 53-year-old man was diagnosed as having eosinophilic otitis media at the age of 40 years, but had discontinued follow-up visits for personal reasons. He subsequently received treatment from his primary care physician for asthma alone, including with benralizumab. In regard to the present medical history, he was urgently hospitalized for left otorrhea, swelling in front of the left ear, left facial pain, and left facial nerve paralysis, and MRSA (methicillin-resistant Staphylococcus aureus) was cultured from the ear discharge and blood. We administered antibiotic therapy and performed mastoidectomy, and diagnosed the patient as having poorly managed otitis media complicated by MRSA infection, which resulted in temporal muscle abscess formation and facial paralysis. The facial nerve paralysis was cured by postoperative steroid treatment, but the symptoms of eosinophilic otitis media persisted. In cases with multiple symptoms, it is important to make a definitive diagnosis based on the clinical findings and laboratory findings, so as to enable prompt therapeutic intervention.
