We report a case of malignant otitis externa with jugular vein thrombosis caused by Aspergillus flavus. Magnetic resonance imaging revealed an unusual ink smudge pattern deep in a cervical abscess. The pattern was consistent with mycetoma and may be important for diagnosing these life-threatening infections.
Keywords: Aspergillus flavus; France; diagnostic imaging; dot in circle sign; ear infection; fungal infection; fungi; ink smudge pattern; jugular thrombosis; magnetic resonance imaging; malignant otitis externa; skull base osteomyelitis; voriconazole.