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A 26-year-old male presented with a 2-week history of increasing left-sided otalgia and discharge. Examination revealed a left-sided neck swelling with an enlarged cervical lymph node. Otoscopy of the left ear revealed tympanic membrane retraction with posterior perforation and granulation. A deep …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.