A Rare Case of Malignant Otitis Externa Complicated by Occipital Bone Osteomyelitis

Introduction

A 65-year-old male with a known case of diabetes mellitus, hypertension, dyslipidemia, and  multiple co-morbidities and a smoker presented to the ENT clinic ,with a 1-year history of  recurrent right ear discharge and ear pain. He developed right otitis externa, which progressed  into right-sided malignant otitis externa, initially affecting osteomastoiditis and further  complicated by severe osteomyelitis involving the occipital bone.