The cases of four healthy people are presented; each suspected of having contracted malignant external otitis (MEO). In all four patients, the classic symptoms of MEO were present. In two cases, cautrimoxazole was administered orally; the other two patients did not receive any oral antibiotics. In each case, the disease took a benign course. It was concluded that MEO may occur in a wider, healthy population who overcome it quite easily, without recourse to antibiotics.