<prompt> All are true about malignant otitis externa exceptESR is used for follow up after treatmentGranulation are seen on superior wall of external auditory canalSevere hearing loss is the chief presenting complaintPseudomonas is the most common cause  <response>: Caused by Pseudomonas aeruginosa. 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. The conductive type of hearing loss is seen. Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 55 