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Diagnosis was delayed as the patient reported no otalgia, had an almost normal looking external auditory canal and was not diabetic. He deteriorated and died despite intravenous antibiotics. We need a high index of suspicion for NOE and its complications in patients presenting with otolaryngeal symptoms.<\/jats:p>","DOI":"10.1093\/ageing\/afab034","type":"journal-article","created":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T22:17:03Z","timestamp":1612390623000},"page":"1004-1005","source":"Crossref","is-referenced-by-count":3,"title":["Dysphagia due to necrotizing otitis externa"],"prefix":"10.1093","volume":"50","author":[{"given":"Rajesh","family":"Dwivedi","sequence":"first","affiliation":[{"name":"Nottingham University Hospitals, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melroy","family":"Rasquinha","sequence":"additional","affiliation":[{"name":"Nottingham University Hospitals, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rowan","family":"Harwood","sequence":"additional","affiliation":[{"name":"University of Nottingham School of Health Sciences, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,3,3]]},"reference":[{"key":"2021050517365014200_ref1","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1007\/s00455-016-9695-9","article-title":"A systematic review of the prevalence of oropharyngeal dysphagia in stroke, Parkinson\u2019s disease, Alzheimer\u2019s disease, head injury, and pneumonia","volume":"31","author":"Takizawa","year":"2016","journal-title":"Dysphagia"},{"key":"2021050517365014200_ref2","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/S1473-3099(03)00858-2","article-title":"The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations","volume":"4","author":"Grandis","year":"2004","journal-title":"Lancet Infect Dis"},{"key":"2021050517365014200_ref3","first-page":"353","article-title":"Prognostic implications of therapy for necrotizing external otitis","volume":"6","author":"Corey","year":"1985","journal-title":"Am J Otol"},{"key":"2021050517365014200_ref4","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/0002-9343(88)90592-X","article-title":"Malignant external otitis: insights into pathogenesis, clinical manifestations, diagnosis, and therapy","volume":"85","author":"Rubin","year":"1988","journal-title":"Am J Med"},{"key":"2021050517365014200_ref5","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1177\/0003489418778056","article-title":"Malignant otitis Externa outcomes: a study of the university HealthSystem consortium database","volume":"127","author":"Hatch","year":"2018","journal-title":"Ann Otol Rhinol Laryngol"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ageing\/article-pdf\/50\/3\/1004\/37807899\/afab034.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ageing\/article-pdf\/50\/3\/1004\/37807899\/afab034.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T13:11:34Z","timestamp":1620306694000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/50\/3\/1004\/6157445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,3]]},"references-count":5,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,3]]},"published-print":{"date-parts":[[2021,5,5]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afab034","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,5]]},"published":{"date-parts":[[2021,3,3]]}}}