system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 64-year-old homeless man comes to the emergency department with right ear pain and difficulty hearing for 2 weeks. Over the last 5 days, he has also noticed discharge from his right ear. He does not recall the last time he saw a physician. His temperature is 39.0°C (102.2°F), blood pressure is 153/92 mm Hg, pulse is 113/minute, and respirations are 18/minute. He appears dirty and is malodorous. Physical examination shows mild facial asymmetry with the right corner of his mouth lagging behind the left when the patient smiles. He experiences severe ear pain when the right auricle is pulled superiorly. On otoscopic examination, there is granulation tissue at the transition between the cartilaginous and the osseous part of the ear canal. Which of the following is most likely associated with this patient's condition?
assistant
Elevated HBA1c