Fungal malignant otitis externa treated with hyperbaric oxygen.
نویسندگان
چکیده
OBJECTIVE To report a case of Aspergillus flavus malignant otitis externa, successfully treated with antifungal agents, surgical debridement, and hyperbaric oxygen treatment. PATIENT The case was a 77-year-old man with non-insulin dependent diabetes mellitus, who presented with otalgia and purulent otorrhea. Intervention was with surgical debridement, antifungal agents, and hyperbaric oxygen treatment. The main outcome measures were radiological and histological findings. CONCLUSIONS A. flavus is a rare cause of malignant otitis externa. Aggressive treatment should include surgical debridement, with appropriate antifungal agents and hyperbaric oxygen therapy.
منابع مشابه
Malignant otitis externa.
Malignant otitis externa is an invasive, potentially life-threatening infection of the external ear and skull base that requires urgent diagnosis and treatment. It affects immunocompromised individuals, particularly those who have diabetes. The most common causative agent remains Pseudomonas aeruginosa. Definitive diagnosis is frequently elusive, requiring a high index of suspicion, various lab...
متن کاملHyperbaric oxygen as an adjuvant treatment for malignant otitis externa.
BACKGROUND Malignant, or necrotising, otitis externa is a potentially fatal infection of the external ear canal and surrounding soft tissue and bone. It may be complicated by involvement of cranial nerves, principally the facial nerves and the contents of the jugular foramen. It is an uncommon condition mainly found in the elderly or in diabetics. OBJECTIVES To assess the effectiveness of adj...
متن کاملFungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis
Fungal malignant otitis externa (FMOE) is a serious and potentially life-threatening condition that is challenging to manage. Diagnosis is often delayed due to the low sensitivity of aural swabs and many antifungal drugs have significant side effects. We present a case of FMOE, where formal tissue sampling revealed the diagnosis and the patient was successfully treated with voriconazole, in add...
متن کاملFungal Malignant Otitis Externa with Facial Nerve Palsy: Rare Case
Malignant external otitis manifests as a painful inflammation of the external ear canal, associated with purulent otorrhea and granulation a polyp, MEO is a rare infection of the temporal bone primarily affecting elderly patients and diabetics or immunocompromised individuals. We present a rare case of Fungal malignant otitis externa with facial nerve palsy where formal tissue sampling revealed...
متن کاملA rare and sinister variant of a common ailment: Fungal malignant otitis externa
A recent case report in this journal highlighted the pathophysiology and management of bacterial malignant otitis externa (MOE) (1). We describe the case of an elderly gentleman who had a delayed diagnosis of fungal MOE with advanced diseased at time of diagnosis. This case highlights the changing microbiology of this serious disease and the difficulty in diagnosis given the rarity of this form...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
دوره 12 5 شماره
صفحات -
تاریخ انتشار 2008