{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T07:09:18Z","timestamp":1789110558496,"version":"build-2803163510"},"reference-count":11,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T00:00:00Z","timestamp":1661817600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T00:00:00Z","timestamp":1661817600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>\n                    Facial paralysis secondary to acute otitis media (AOM) is rare in the post-antibiotic era.\n                    <jats:sup>1,2<\/jats:sup>\n                    In immunosuppressed patients, atypical bacteria are more commonly encountered as the cause.\n                    <jats:italic toggle=\"yes\">Mycoplasma hominis<\/jats:italic>\n                    , normally found in the genitourinary tract, uncommonly causes extragenital infection.\n                    <jats:sup>3<\/jats:sup>\n                    We report a case of AOM secondary to\n                    <jats:italic toggle=\"yes\">M. hominis<\/jats:italic>\n                    , complicated by facial paralysis in an immunosuppressed patient. A 24-year-old male with multiple sclerosis, on rituximab, presented to the emergency department with otalgia and facial paralysis. He was diagnosed with Bell\u2019s palsy and subsequently referred to the otolaryngology service. Examination revealed right facial paralysis and purulent otorrhea. Computed tomography (CT) of the temporal bone showed right tympanic and mastoid opacification. The patient was admitted and started on IV ampicillin\/sulbactam, IV dexamethasone, and ciprofloxacin\/dexamethasone otic drops. Debridement and examination under anesthesia revealed a right tympanic membrane perforation and granulation tissue. Biopsy and cultures were obtained. Final cultures were positive for\n                    <jats:italic toggle=\"yes\">Mycoplasma hominis<\/jats:italic>\n                    . Facial paralysis is an uncommon complication of AOM but typically resolves once appropriate antibiotic therapy is regimented. Because\n                    <jats:italic toggle=\"yes\">Mycoplasma<\/jats:italic>\n                    can be missed on routine culture, clinicians should consider workup for atypical organisms in settings of immunosuppression so appropriate antibiotic therapy can be initiated.\n                  <\/jats:p>","DOI":"10.1177\/01455613221113814","type":"journal-article","created":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T21:14:11Z","timestamp":1661894051000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Mycoplasma Hominis: A Rare Case of Acute Otitis Media and Facial Nerve Paralysis"],"prefix":"10.1177","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8080-9920","authenticated-orcid":false,"given":"Birkaran","family":"Sadhar","sequence":"first","affiliation":[{"name":"Lake Erie College of Osteopathic Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6593-7521","authenticated-orcid":false,"given":"Ellen","family":"Ko-Keeney","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Hamot"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rick","family":"Fornelli","sequence":"additional","affiliation":[{"name":"West Virginia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidney","family":"Lipman","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Hamot"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,8,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.09.013"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200301000-00022"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmmb.2020.10.020"},{"key":"e_1_3_3_5_2","volume-title":"Logan Turner\u2019s Diseases of the Nose, Throat and Ear Head and Neck Surgery","author":"Maran AGD","year":"2015","unstructured":"Maran AGD, Hussain SM. Logan Turner\u2019s Diseases of the Nose, Throat and Ear Head and Neck Surgery. 11th ed. Boca Raton: CRC Press; 2015.","edition":"11"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-005-1326-6"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/168742"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/40.5.622"},{"issue":"4","key":"e_1_3_3_9_2","first-page":"335","article-title":"Mycoplasma hominis: a review of its role as a respiratory tract pathogen of humans","volume":"10","author":"Mufson MA","year":"1983","unstructured":"Mufson MA. Mycoplasma hominis: a review of its role as a respiratory tract pathogen of humans. Sex Transm Dis. 1983;10(4):335-340.","journal-title":"Sex Transm Dis"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(90)90338-E"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300209"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/17.Supplement_1.S243"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613221113814","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613221113814","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613221113814","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:36:59Z","timestamp":1777401419000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613221113814"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,30]]},"references-count":11,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/01455613221113814"],"URL":"https:\/\/doi.org\/10.1177\/01455613221113814","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,30]]}}}