Otomycoses : étude clinique et mycologique de 70 cas

Aboulmakarim, Siham; Tligui, H.; Mrini, M. El; Zakaria, Iskandar; Handour, N.; Agoumi, A.

doi:10.1016/j.mycmed.2010.01.002

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…In recent years, there has been a dramatic increase in the incidence of mycotic infections and in the diversity of pathogenic fungi. Our study revealed a prevalence of 41%, a rate similar to that reported by a study conducted in Rabat, Morocco, which included 70 patients [6]. However, in India, Ivory Coast and Nigeria, very high rates of 78.3%, 80% and 95.5% respectively were reported.…”

Section: Discussionsupporting

confidence: 88%

“…In Turkey, it has been observed that there is a sex ratio largely in favor of women (8/2), this has been explained by the authors by the wearing of head covers [10]. The same thing was observed in Rabat (Morocco) where women accounted for three-quarters of cases reported as fungal infections [6]. Other studies have shown that the prevalence of otomycosis is higher in boys than in girls, so boys would be more active outdoors and therefore more exposed to air borne spores [11][12][13].…”

Section: Discussionmentioning

confidence: 75%

“…In our study, 61% of patients with otomycosis previously used local antibiotic therapy. It should be noted that the use of an antibiotic-based ear treatment was associated in 90% with the occurrence of otomycosis [6]. The manifestations of this pathology remain most often paucisymptomati c and had an insidious evolution [2,4].…”

Section: Discussionmentioning

confidence: 99%

“…In the filamentous fungi, two species were incriminated, A. niger and A. flavus. Yeast-like fungi are exclusively represented by the genus Candida [6]. In Mexico, the authors also noted the predominance of molds (63.9%) with A. flavus (26%) on yeasts dominated by C. albicans (26.8%) [28].…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of Otomycosis at the Military Hospital Avicenne of Marrakech (Morocco)

Ouzdi¹,

Ahroui²,

Zemrani³

et al. 2019

PLM

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Otomycosis is a fungal infection mainly affecting the outer ear, but can spread to the in nerear and become severe. The disease can cause a serious damage for its recurrence and resistance to treatment. The purpose of this work is to determine the prevalence of otomycosis in first place, then in second place to specify the contributing factors and to describe the spectrum of fungi involved. We conducted a prospective study over a period of 6 months between March 2018 and August 2018 in laboratory of parasitology and mycology at the Military Hospital Avicenna of Marrakech. Fore ach patient we performed an atrial sampling with sterile swabs. A direct examination and culture on Sabouraud-Chloramphenicol media with and without cycloheximide were carried out. The identification of fungi was based on the macroscopic, microscopic and phenotypic characteristics of colonies. Our study included 67 patients, of which 28 were positive, giving an overall prevalence of 41% with female predominance. The average age of our patients was 40 years old. Many factors enhanced the otomycosis, the daily cleaning of the external ear canal was the most recurrent factor (46%), followed by frequent bathing (35%). The most common species were Aspergillus niger (46%), Aspergillus flavus (35%), and Candida albicans (17%). This study demonstrates the importance of otomycosis in the etiologies of otitis in our population. The management of these infections must include a mycological study in order to establish an antifungal therapy adapted to the pathogen.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Epidemiology of Otomycosis at the Military Hospital Avicenne of Marrakech (Morocco)

Ouzdi¹,

Ahroui²,

Zemrani³

et al. 2019

PLM

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“…3,8,15,17 Fungal infections of the middle ear are common as fungi thrive well in moist pus. 4,18,19 Our study confirmed the significant place of mycotic samples in chronic otitis media in our service. In Mali, we have practically no studies on the subject.…”

Section: Resultssupporting

confidence: 81%

Prevalence of otomycosis in the district hospital IV of Bamako, Mali

Baba¹,

Aminata²,

Dicko³

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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Background: Otomycosis is more and more found in chronic suppurative otitis media (CSOM), several factors (iterative antibiotic therapy, self-medication, general chronic diseases, climate), may explain this phenomenon which makes it more complex to start an adequate therapy. Objective was to highlight the place of otomycosis in chronic purulent otorrhea of the middle ear in tropical settings. Study settings were like the ENT unit of the reference health centre of commune IV of the district of Bamako, the Rodolphe Mérieux laboratory.Methods: We identified the bacteriological samples taken in our unit between February 2009 and February 2018.The study involved 178 samples from a number of patients estimated at 148 with chronic purulent otitis media. All samples collected were transported and evaluated by both direct microscopic examination and culture method for bacteria and fungi examination, which were identified by standard procedures.Results: The female sex predominated with 60.82%. The mean age of the patients was 27 years (range 5 months to 91 years). Among 170 samples, 36.19% yielded fungal growth, 59.7% grew bacteria and 50.94% showed mixed growth of fungi and bacteria. Major fungal isolates were candida species (n=38). 21 isolates were identified as Aspergillus.Conclusions: This study will have made it possible to confirm the significant place of otomycosis in the chronic suppurative pathology of middle ear in our structure, requiring its consideration in the adequate treatment of CSOM.

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