{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T05:31:24Z","timestamp":1738819884759,"version":"3.37.0"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2005,9,1]]},"abstract":"<jats:p>This case report of bilateral otitis media in a 39-year-old woman secondary to Wegener's Granulomatosis highlights, for the audiologist, the importance of being aware of some of the less common etiologies of middle ear disease. Bilateral otitis media that resists usual forms of medical\n treatment may represent one of the earliest signs of Wegener's Granulomatosis, a potentially life-threatening disease. According to recent literature, involvement of the ears, nose, and throat can in many instances be the only early manifestation of the disease. It is important that audiologists\n be aware of the early signs in order to make appropriate referral for treatment, particularly since they are usually among the first to see these patients. Early diagnosis and referral is critical since the mean survival of untreated WG is five months, with 82% of patients dying within one\n year, and more than 90% dying within two years. The disease involves a systemic vasculitis that may involve any organ system: however, pulmonary or renal disease appear to be among the later signs, while both middle ear and upper respiratory involvement are frequently among the earliest. Este\n reporte de caso de una otitis media bilateral en una mujer de 39 a\u00f1os de edad, secundario a una Granulomatosis de Wegener, destaca para el audiol\u00f3go la importancia de ser conciente de algunas de las etiolog\u00edas menos frecuentes en la enfermedad del o\u00eddo medio. Una\n otitis media bilateral que se resiste a las formas habituales de tratamiento m\u00e9dico, puede ser uno de los signos m\u00e1s tempranos de la Granulomatosis de Wegener, una enfermedad potencialmente mortal. De acuerdo a la literatura reciente, el compromiso de los o\u00eddos, la nariz\n y la garganta, puede a menudo ser la \u00fanica manifestaci\u00f3n temprana de la enfermedad. Es importante que los audi\u00f3logos conozcan estos signos tempranos, para hacer una referencia apropiada para tratamiento, particularmente por ser quienes primero ven al paciente. Un diagn\u00f3stico\n y una referencia temprana son cr\u00edticos pues la supervivencia media de una WG no tratada es de cinco meses, con muerte del 82% de los pacientes dentro de un a\u00f1o y de m\u00e1s de 90% a los dos a\u00f1os. Esta enfermedad produce una vasculitis sist\u00e9mica que puede involucrar\n cualquier sistema de \u00f3rganos; sin embargo, la enfermedad pulmonar o renal parece ser un signo tard\u00edo, mientras que el compromiso del o\u00eddo medio y del tracto respiratorio superior est\u00e1 frecuentemente entre los signos m\u00e1s tempranos.<\/jats:p>","DOI":"10.3766\/jaaa.16.8.8","type":"journal-article","created":{"date-parts":[[2008,4,22]],"date-time":"2008-04-22T23:54:28Z","timestamp":1208908468000},"page":"596-599","source":"Crossref","is-referenced-by-count":0,"title":["An Unusual Case of Otitis Media"],"prefix":"10.3766","volume":"16","author":[{"given":"Raymond H.","family":"Hull","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2005\/00000016\/00000008\/art00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T23:12:24Z","timestamp":1738797144000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.16.8.8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,9,1]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2005,9,1]]}},"alternative-id":["1050-0545(20050901)16:8L.596;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.16.8.8","relation":{},"ISSN":["1050-0545"],"issn-type":[{"type":"print","value":"1050-0545"}],"subject":[],"published":{"date-parts":[[2005,9,1]]}}}