case_images: PMC6803738_01
case_images: CT of the left ear without contrast medium.
case_images: CRIID2019-2683701.001.jpg
case_images: PMC6803738_01_CRIID2019-2683701.001.jpg
case_images: fig1
case_images: A computerized tomography (CT) of the left ear without contrast medium documented "thickening of the walls of the external auditive canal, marked thickening of the tympanic membrane, and the ossicular chain conglobated by inflammatory material" (Figure 1).
case_images: Brain MRI without and with contrast medium.
case_images: CRIID2019-2683701.002.jpg
case_images: PMC6803738_01_CRIID2019-2683701.002.jpg
case_images: fig2
case_images: Then, on 28/09, the patient was hospitalized at our department, and a brain MRI without and with contrast medium showed "in correspondence of the petrous rock and the mastoid on the left, a nonhomogeneous hyperintensity in the long TR sequences, compatible with the presence of flogistic tissue" (Figure 2).
case_images: Antibiogram of XDR Pseudomonas.
case_images: CRIID2019-2683701.003.jpg
case_images: PMC6803738_01_CRIID2019-2683701.003.jpg
case_images: fig3
case_images: On the isolated strain, E- test was performed for ceftolozane-tazobactam and ceftazidime-avibactam with MIC 8 and 2, respectively (Figure 3). 
case_images: CT scan of the left ear without contrast.
case_images: CRIID2019-2683701.004.jpg
case_images: PMC6803738_01_CRIID2019-2683701.004.jpg
case_images: fig4
case_images: The CT scan of the ear without contrast, performed on 10/29/2018, confirmed a "significant reduction of inflammatory material occupying the middle ear and reduction of thickening of the tissues of the external auditive canal." (Figure 4).