Sequential Bilateral Otitis Media and Bilateral Facial Nerve Paralysis as Presenting Symptoms of Wegener's Granulomatosis

Abstract

Wegener's granulomatosis is an incurable vasculitis that can be life-threatening when end-organ damage occurs. Symptoms most commonly affect the nose, lungs, and kidneys. We present a case study of a 35-year-old male who presented with sequential bilateral otitis media, progressive mixed hearing loss, tinnitus, otalgia, otorrhea, and, later, bilateral facial nerve paralysis despite aggressive antibiotic intervention. The accompanying review of the literature demonstrates only six other patients worldwide with these presenting symptoms. Treatment options and outcome will be discussed.