Prevalence of Fungal Infection in Chronic Suppurative Otitis Media-A Study at Tertiary Care Hospital in Western Uttar Pradesh

Ghosh, Arun; Rana, Amit Kumar; Prasad, Surendra

doi:10.5958/2394-5478.2015.00006.0

Cited by 4 publications

(3 citation statements)

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“…Culture positivity was more in chronic otitis media (COM) without any active discharge 45.2% than in chronic suppurative otitis media (CSOM, 29.5%). 5 Statistically calculated probable range of KOH positivity was not calculated any of the above studies.…”

Section: Discussionmentioning

confidence: 98%

“…3 In our study, overall prevalence rate KOH positivity was found to be 15.8% comparable to other studies like, Ghosh et al states that, out of 130 cases, 34 were found fungal positive having the prevalence rate 26.15%. 4 Roy et al states that, out of 200 cases, 74 (37%) were positive on culture. Culture positivity was more in chronic otitis media (COM) without any active discharge 45.2% than in chronic suppurative otitis media (CSOM, 29.5%).…”

Section: Discussionmentioning

confidence: 99%

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Retrospective study of fungal elements by potassium hydroxide mount in chronic otitis media

Sanjay

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic otitis media is defined as persistent disease of middle ear. Fungi can either be the primary pathogen or be superimposed on bacterial infections or can be secondary pathogen in previously perforated tympanic membrane. Keeping view of high prevalence of fungal infection of middle ear in hot, humid and dusty areas, retrospective study was done to detect the potassium hydroxide (KOH) mount positive in ear discharge of chronic otitis media and treat these patients.Methods: This was a retrospective study based on Bapuji Hospital records between 1 January 2018 to 26 July 2019 attached to the teaching college JJM Medical College, Davangere. Patients of either sex between age group 18 months to 87 years who diagnosed with chronic otitis media and given ear discharge sample for bacterial culture and KOH mount which is taken by a single surgeon. Collected bacterial culture reports and KOH mount reports and calculated all positive reports of KOH mount reports and treated accordingly and all reports were analysed statistically. Results: We found that 15.8% KOH rate positive with 9.8-21.8% probable range for KOH positivity 95% CI which will impact in modification of treatment in chronic otitis media and were effectively treated with antibiotic and antifungal ear drops and 8 patients were required oral antibiotics as well.Conclusions: We conclude that in patients with COM, send ear discharge for both culture and sensitivity and KOH mount and it should be routine and always consider combined therapy i.e., antibiotic and antifungal drugs.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Retrospective study of fungal elements by potassium hydroxide mount in chronic otitis media

Sanjay

2020

Int J Otorhinolaryngol Head Neck Surg

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“…In chronic otitis media, different isolates of Aspergillus species are described ( Aspergillus niger, Aspergillus flavus, Aspergillus fumigatus, Aspergillus terreus ) [ 83 , 84 ]. Most patients suffer from complaints of pruritus, otorrhea, otalgia, tinnitus, and blocking sensation [ 85 , 86 ].…”

Section: Cutaneous and Superficial Aspergillosismentioning

confidence: 99%

Aspergillus Genus and Its Various Human Superficial and Cutaneous Features

Merad¹,

Derrar²,

Belmokhtar

et al. 2021

Pathogens

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Superficial and cutaneous aspergillosis is a rare fungal disease that is restricted to the outer layers of the skin, nails, and the outer auditory canal, infrequently invading the deeper tissue and viscera, particularly in immunocompromised patients. These mycoses are acquired through two main routes: direct traumatic inoculation or inhalation of airborne fungal spores into paranasal sinuses and lungs. Lesions are classified into three categories: otomycosis, onychomycosis, and cutaneous aspergillosis. Superficial and cutaneous aspergillosis occurs less frequently and therefore remains poorly characterized; it usually involves sites of superficial trauma—namely, at or near intravenous entry catheter site, at the point of traumatic inoculation (orthopaedic inoculation, ear-self-cleaning, schizophrenic ear self-injuries), at surgery incision, and at the site of contact with occlusive dressings, especially in burn patients. Onychomycosis and otomycosis are more seen in immunocompetent patients, while cutaneous aspergillosis is widely described among the immunocompromised individuals. This paper is a review of related literature.

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Antibiogram guided optimized medical treatment in chronic otitis media: A useful interventional strategy before surgery?

Rana¹,

Sharma²,

Upadhyay³

et al. 2022

American Journal of Otolaryngology

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Prevalence of Fungal Infection in Chronic Suppurative Otitis Media-A Study at Tertiary Care Hospital in Western Uttar Pradesh

Cited by 4 publications

References 0 publications

Retrospective study of fungal elements by potassium hydroxide mount in chronic otitis media

Retrospective study of fungal elements by potassium hydroxide mount in chronic otitis media

Aspergillus Genus and Its Various Human Superficial and Cutaneous Features

Antibiogram guided optimized medical treatment in chronic otitis media: A useful interventional strategy before surgery?

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