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She eventually responded to antivirals and steroids and, at follow-up, her sixth and seventh cranial nerve palsies had completely resolved, though a hearing deficit remained. This case highlights the importance of keeping a diagnosis under review, with the help of the multidisciplinary team, when the clinical course is not progressing as expected.<\/jats:p>","DOI":"10.1136\/bcr-2019-229569","type":"journal-article","created":{"date-parts":[[2019,6,8]],"date-time":"2019-06-08T05:55:14Z","timestamp":1559973314000},"page":"e229569","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Herpes zoster oticus with meningitis masquerading as malignant otitis externa"],"prefix":"10.1136","volume":"12","author":[{"given":"Harriet A","family":"Cunniffe","sequence":"first","affiliation":[{"name":"ENT, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK"},{"name":"ENT, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas G","family":"Cunniffe","sequence":"additional","affiliation":[{"name":"Clinical Neurosciences, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,6,7]]},"reference":[{"key":"2025082804252234000_12.6.e229569.1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410350718"},{"key":"2025082804252234000_12.6.e229569.2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000191407.81333.00"},{"key":"2025082804252234000_12.6.e229569.3","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318039b30f"},{"key":"2025082804252234000_12.6.e229569.4","first-page":"155","article-title":"Staphylococcal malignant external otitis","volume":"126","author":"Bayardelle","year":"1982","journal-title":"Can Med Assoc J"},{"key":"2025082804252234000_12.6.e229569.5","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/19.5.866"},{"key":"2025082804252234000_12.6.e229569.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(82)80035-5"},{"key":"2025082804252234000_12.6.e229569.7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21108"},{"key":"2025082804252234000_12.6.e229569.8","doi-asserted-by":"publisher","DOI":"10.1002\/1531-8249(200008)48:2<254::AID-ANA17>3.0.CO;2-V"},{"key":"2025082804252234000_12.6.e229569.9","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.4.1202"},{"key":"2025082804252234000_12.6.e229569.10","doi-asserted-by":"crossref","unstructured":"Uscategui T , Dor\u00e9e C , Chamberlain IJ , et al . Antiviral therapy for Ramsay Hunt syndrome (herpes zoster oticus with facial palsy) in adults. 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