Bacterial Labyrinthitis in an Adult with Acute Otitis Media

Abstract

We report a rare case of fulminate suppurative bacterial labyrinthitis in an otherwise healthy female who presented with bilateral acute otitis media. The presentation of purulent otorrhea with concurrent vertigo, vigorous spontaneous left-beating nystagmus, and hearing loss was compelling for the diagnosis. This report discusses the clinical and radiographic presentation and findings consistent with bacterial labyrinthitis and stresses the importance of expedited diagnosis and medical and surgical intervention to avoid further complication as well as minimize permanent inner ear damage. We also discuss posttreatment inner ear evaluation and rehabilitative options based on permanent insults.