Rare case of acute necrotising otitis media.

Abstract

Acute Necrotizing Otitis Media / Acute Necrotic Otitis Media is a special form of acute bacterial otitis media, that is accompanied by true necrosis and sloughing of considerable areas of tissue in the middle ear and adjacent region.1 It occurs in infants & young children who are acutely ill and toxic from measles, scarlet fever, pneumonia, influenza, or some other systemic febrile infections.2 There is true necrosis & gangrene of considerable areas of soft tissue and sometimes bone due to a virulent organism nearly always beta-hemolytic streptococcus.3 There is progressive necrosis and sloughing of tissue which is replaced by cicatrical tissue. Herein, we report a case of post measles, acute necrotizing otitis media in both ears managed by debridement and serial dressings