Streptococcus pyogenesotitis media with ipsilateral hearing loss facial paralysis complicated by acute mastoiditis and petrous apicitis

Abstract

Streptococcus pyogenes is a common Gram-positive coccus frequently encountered in clinical medicine as the causative agent of skin and soft tissue infections and pharyngotonsillitis. It is also a rare causative agent of acute otitis media, where it is more frequently associated with a complicated disease course when compared to typical causes of acute otitis media. We present a novel case of acute otitis media caused by S. pyogenes that was complicated by ipsilateral hearing loss, ipsilateral facial paralysis, acute mastoiditis, and petrous apicitis in a young adult woman with no significant past medical history.

Keywords: Streptococcus pyogenes, acute otitis media