The occurrence of malignant otitis externa (MOE) in infancy is rare. We rep
ort a case of MOE in a neonate who was later identified to have selective I
gA deficiency. She was successfully treated with oral ciprofloxacin, but de
veloped external auditory canal stenosis, a deformed pinna, persistent faci
al nerve palsy, temporal bone erosion and hearing loss. No cases of MOE in
selective IgA deficiency have been reported in literature. This is also the
first report on the use of ciprofloxacin in infants with MOE. (C) 2001 Els
evier Science Ireland Ltd. All rights reserved.