A case of necrotising fasciitis caused by Vibrio vulnificus is described. The need for early recognition and aggressive surgical treatment are highlighted, and the necrotising infections due to V vulnificus described in the published work are reviewed.

Introduction: Otolaryngology is a field with a high referral rate; however, there is a dearth of research on the quality of referral letters written in this field. This study was carried out to explicitly assess the quality of referral letters, more specifically in the field of otology.   Materials and Methods: Two otologists assessed referral letters written by general ...

UNLABELLED The equivalent ear canal volume ranges from 0.3 ml to 1.0 ml in children and from 0.65 to 1.75 ml in adults. In subjects with chronic otitis media these values can be different, according to the disease status. AIM To study the equivalent ear canal volume in 52 ears of patients with chronic otitis media with and without active infection. STUDY DESIGN Clinical prospective with tra...

Otitis externa is a common condition affecting 1–3% of the population.1 The patients often present initially to primary care. They should be referred to an ear, nose and throat (ENT) specialist if the symptoms persist despite the initial treatment with antimicrobial drops. Multifactorial issues exist as to why this occurs. However, the most common reason to seek specialist input is to address t...

Necrotising fasciitis is a rapidly progressing necrotising process involving subcutaneous tissue and fascia but sparing muscles, and is accompanied by severe systemic toxicity.1 2The syndrome is often caused by group A streptococci,' 3 but it is now recognised that other bacteria may be involved, usually in mixed culture. Organisms that have been implicated include a variety of anaerobes, enter...

Necrotising fasciitis is a rare rapidly progressive, life threatening, soft tissue infection which spreads along fascial planes. We present a patient who was diagnosed with a primary cutaneous Diffuse Large B-Cell Lymphoma (leg type) following initial presentation as probable necrotising fasciitis. Presentation was of a painful swollen leg, septic shock and MRI findings consistent with the clin...

Two cases of intussusception in infants born at 26 and 30 weeks' gestation are described. The two infants presented in the neonatal period with abdominal distension, intolerance of feeds, and rectal bleeding. An initial diagnosis of necrotising enterocolitis was made and the infants were treated medically. This led to a delay in the diagnosis of the intussusception. Published work on neonatal i...

BACKGROUND AND PURPOSE Skull base osteomyelitis typically arises as a complication of ear infection in older diabetic patients, involves the temporal bone, and has Pseudomonas aeruginosa as the usual pathogen. Atypical skull base osteomyelitis arising from the sphenoid or occipital bones without associated external otitis occurs much less frequently and initially may have headache as the only s...