Otitis Media and Facial Paralysis Caused by Adult T-cell Leukemia; A Case Report

A 61-year-old male developed left otitis media and left peripheral facial nerve paralysis. One month later right otitis media and right peripheral facial nerve paralysis occurred. ATL cells were found in the peripheral blood, and anti-ATL associated antigen was demonstrated by the serological examination. The cerebrospinal fluid contained ATL cells, but no ATL cells were found in the granulation tissue removed from the middle ear cavity.