<prompt> Malignant otitis externa is due to?Wax impactionHypeensionDiabetesDyslipidemia  <response>: It is an inflammatory condition caused by Pseudomonas infection, usually in the elderly diabetics, or in those on immunosuppressive drugs. There will be excruciating pain and granulations in the ear canal. Ref: Textbook of diseases if ENT, PL Dhingra, 7th edition, pg no. 55 