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Conservative Management of Petrositis due to Mycobacterium abscessus

Abstract

John Behnke

Mycobacterium abscessus is a rare, but increasingly frequent cause of petrositis and otomastoiditis. Over the last 40 years, the therapeutic focus of petrositis has shifted from surgical to medical modalities; however, M. abscessus infections provide a distinct challenge to the medical management of petrositis due to the species’ predilection for extensive drug resistance. We describe a case in which petrositis due to M. abscessus is effectively managed in a patient with significant comorbidities through conservative medical therapy.

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