Can vinegar be used in treating Pseudomonas ear infections in a patient with a perforated eardrum?

Ear Nose Throat J. 2015 Aug;94(8):E52-4.


Chronic Pseudomonas ear infections are difficult to treat, particularly in immunodeficient patients. Vinegar therapy is a time-tested measure for the treatment of these infections. It is inexpensive, simple, easy to administer, and very effective. However, some physicians are reluctant to use it in immunocompromised patients or in the setting of a perforated tympanic membrane. We describe our successful use of vinegar therapy in a 32-year-old man with both of these conditions. His Pseudomonas ear infection had persisted for more than 5 years despite conventional drug treatment. Eventually, we treated him with instillations of topical vinegar, and his infection cleared in 3 weeks.

Publication types

  • Case Reports

MeSH terms

  • Acetic Acid / therapeutic use*
  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Humans
  • Immunocompromised Host*
  • Male
  • Otitis Media / complications
  • Otitis Media / drug therapy*
  • Pseudomonas Infections / complications
  • Pseudomonas Infections / drug therapy*
  • Tympanic Membrane Perforation / complications*


  • Anti-Bacterial Agents
  • Acetic Acid