Otomycosis: Clinical features and treatment implications

Ho, Tang; Vrabec, Jeffrey T.; Yoo, Donald B.; Coker, Newton J.

doi:10.1016/j.otohns.2006.07.008

Cited by 164 publications

(195 citation statements)

References 20 publications

(42 reference statements)

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“…Recurrence after treatment is not uncommon, and eradication of disease can be particularly difficult in some cases [20,34].…”

Section: Discussionmentioning

confidence: 99%

“…There are many studies which show that there had been a rise in the occurrence of otomycosis in latest years which were linked to the extensive use of antibiotic ear drops, widespread use of corticosteroids, and chemotherapeutic agents [12,20,21]. Secondary overgrowth of fungi is well-known and recognized complication of the use of broadspectrum antibiotics such as fluoroquinolones and cephalosporins [12,20,[22][23][24].…”

Section: Introductionmentioning

confidence: 99%

“…Secondary overgrowth of fungi is well-known and recognized complication of the use of broadspectrum antibiotics such as fluoroquinolones and cephalosporins [12,20,[22][23][24]. Prevalence is also influenced by the geographical area, as otomycosis is most commonly present in tropical and subtropical humid climates [12,13,[25][26][27].…”

Section: Introductionmentioning

confidence: 99%

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Presentation Pattern and Fungal Agents Spectrum Causing Otommycosis

Dekhil

2018

Asian J Pharm Clin Res

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Objective: This study was aimed to identify the pattern of presentation, influencing factors, and sort of the fungal species, distribution of sex of patients with otomycosis. Methods:Eighty-six patients attended to Ad-Diwaniyah teaching hospital, Iraq were screened for identification of fungi causing otomycosis from October 2014 to November 2015. 50 patients were females while 36 patients were males. 12 patients of the total number were with bilateral involvement. Diabetes mellitus, leukemia, chemotherapy, and chemoradiation were the associated systemic diseases which were recorded in patients with otomycosis and diabetes mellitus was detected in 53.84% of patients with systemic diseases. Results:The predominant complaints were pruritus and found in 76 patients (88.73%), discomfort and pain found in 62 patients (72.09%), aural fullness in 48 patients (55.81%), tinnitus in 34 patients (39.53%), hearing impairment in 50 cases (58.31%), ear discharge in 22 patients (25.58%), and most of the symptoms seen in 36 patients (68.14%). The results showed a total of eight fungal species belong to six different genera, namely, Aspergillus, Candida, Penicillium, Rhizopus, Alternaria, and Cephalosporium were isolated during this study. Among identified fungi, Aspergillus niger was found to be the most prevalent fungal species with 35.71% followed by Candida albicans (27.55%), Aspergillus flavus (10.20%), Aspergillus fumigatus (8.16), Penicillium digitatum (6.12%) and Cephalosporium species (4.08%), and Rhizopus species (5.1%), while Alternaria alternata had the lowest percentage (6.54%). Conclusion:Otomycosis/mycotic otitis externa is still a common problem and there is a rise in the occurrence of otomycosis in latest years, especially in tropical and subtropical humid climates.

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“…Recurrence after treatment is not uncommon, and eradication of disease can be particularly difficult in some cases [20,34].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Presentation Pattern and Fungal Agents Spectrum Causing Otommycosis

Dekhil

2018

Asian J Pharm Clin Res

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“…The incidence of otomycosis has been reported between 9%-30.4%. 2,3 Majority of cases of otomycosis are fungal in origin and amongst them Asperigellius and Candida species predominate. These fungi as major causative organisms were reported by Geaney et al and by Lakshmipathi and Murthy.…”

Section: Introductionmentioning

confidence: 99%

“…4,[6][7][8] The most common presenting signs and symptoms of otomycosis include pruritis, pain, inflammation, scaling. 2,9 Tinnitus, ear ache, hearing impairment, discharge is some other commonly associated symptoms. 2,10,11 Even in most advanced cases of otomycosis, the fungal hyphae do not protrude outside the ear as they derive their nutrition from external auditory canal.…”

Section: Introductionmentioning

confidence: 99%

Clinico-mycological study of otomycosis in Raichur, Karnataka: a hospital based study

Sangavi

Peerapur

Gummadi

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Otomycosis is a fungal infection of the ear canal. It is mostly seen in hot and humid climatic conditions of the tropical and subtropical countries. It can also occur as a result of decreased immunity (and has been seen as a common occurrence as an opportunistic infection in the immunocompromised). Methods: Patients clinically diagnosed with otomycosis and coming to the ENT department RIMS teaching hospital were first subjected to detailed history taking. The samples from ear will then be collected by three sterile cotton swabs and sent to Microbiology Department, RIMS. Fungal, bacterial cultures were performed and microscopic examination was done. Results: Patients presented with a wide age range, the youngest patient being 6 months old and eldest being 28.31 years old. The mean age of the study population was 28.31 years. The ratio between male and female patients was 1.13:1 with male predominance. There were 26 patients (81.2%) who had a habit of using pins or sticks. The chief complaints of majority of the patients were pain and itching. Pain ranged from mild to severe type. Least common symptom was tinnitus. Conclusions: In our study male predominance was seen and majority of cases were unilateral. There were only 5 patients who were immunocompromised. The most common presenting symptom was pain and itching. There were 81.2% patients who had a habit of using pins/ sticks.

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