AI Article Synopsis
- The study aims to explore the difficulties involved in diagnosing and treating fungal infections of the ear.
- It included a case series and literature review, focusing on three patients at LSU Health Sciences Center with complex fungal otitis externa between November 2020 and November 2023.
- The findings highlight that diagnosing fungal ear infections is tricky due to their similar symptoms to more common infections, and patient factors (like uncontrolled diabetes) add to the complexity; successful treatment requires teamwork among various medical professionals and ongoing patient care.
Article Abstract
The purpose of this study is to describe challenges in diagnosis and treatment of otologic fungal infections.; 2) Methods: Case series and literature review 3) Results: Three patients treated at Louisiana State University Health Sciences Center - Shreveport between November 2020 - November 2023 were identified with complicated fungal otitis externa requiring detailed radiologic and histopathologic workup to aid in diagnosis and management. 4) Conclusion: Diagnosis of otologic fungal infection is often complex due to similar presentation of more common pathogens, overlapping features among common fungal specimens, and limitations of available diagnostic methods. Patient factors, including diabetes with poor glycemic control, may further complicate this challenging disease. High index of clinical suspicion, collaboration between multidisciplinary teams is essential to differentiate between common and uncommon fungal ear infections. A combination of mechanical debridement, topical and/or systemic therapy, and longitudinal follow-up with otolaryngology and infectious disease teams is required for successful treatment.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569044 | PMC |
| http://dx.doi.org/10.1007/s12070-024-04989-x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Beyond the Ear, the Hidden Threat of Paecilomyces Neuro-Otological Infection: A Case Report.
J Int Adv Otol
November 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia.
Article Synopsis
- Paecilomyces spp. are thermo-tolerant fungi that can cause various infections, notably in the paranasal sinuses and occasionally the ear, especially in immunocompromised individuals like diabetics.
- A case study highlights a 41-year-old male army officer with a severe upper ear infection and intracranial abscess due to Paecilomyces, which was successfully treated through surgery and antifungal medication.
- The findings underscore the importance of early detection and treatment of such rare fungal infections to prevent serious complications and differentiate them from similar conditions like cholesteatoma.
Perioperative Use of Systemic Steroids Within Otolaryngology-Head and Neck Surgery: Evidence-Based Guidance for Clinicians.
Otolaryngol Head Neck Surg
December 2024
Department of Otorhinolaryngology, Ochsner Health, New Orleans, Louisiana, USA.
Objective: To review and synthesize the available evidence for use of perioperative systemic steroids for otolaryngologic surgical procedures.
Data Sources: A comprehensive literature review with evidence-informed recommendations.
Review Methods: Databases were queried for medical subject heading terms and keywords related to perioperative systemic corticosteroids use for comprehensive otolaryngology and subspecialty procedures including otologic, sinonasal, sleep, laryngeal, head and neck, facial plastics, and pediatric surgery.
Challenges in Management of Uncommon Otologic Fungal Disease - a Case Series and Review of Literature.
Indian J Otolaryngol Head Neck Surg
December 2024
Department of Otolaryngology Head Neck Surgery, LSU Health Shreveport, 1501 Kings' Hwy, Shreveport, 71103 LA USA.
Article Synopsis
- The study aims to explore the difficulties involved in diagnosing and treating fungal infections of the ear.
- It included a case series and literature review, focusing on three patients at LSU Health Sciences Center with complex fungal otitis externa between November 2020 and November 2023.
- The findings highlight that diagnosing fungal ear infections is tricky due to their similar symptoms to more common infections, and patient factors (like uncontrolled diabetes) add to the complexity; successful treatment requires teamwork among various medical professionals and ongoing patient care.
Article Synopsis
- The study aimed to investigate the causes, treatments, and complications of otitis externa (OE) by analyzing patient data from a university hospital over an eight-year period.
- Out of 269 patients with OE, complications such as otitis media and mastoiditis were noted, with certain risk factors like antibiotic use and systemic diseases being more prevalent in patients with mastoiditis.
- Effective treatment typically involves local care, but persistent infections may require systemic drugs; the study highlights the need for monitoring potential long-term hearing issues in affected patients.
Aetiological Profile, Clinical Features and Risk Factors for Otomycosis in Dar Es Salaam, Tanzania: A Cross-Sectional Study.
Indian J Otolaryngol Head Neck Surg
October 2024
Department of Surgery, School of Medicine and Dentistry, University of Dodoma, Dodoma, Tanzania.
Otomycosis is a commonly encountered otological disorder in otorhinolaryngology practice. It has several predisposing factors such as habitual use of cotton buds, water in the ear, hot humid atmospheric condition or high temperature. Diagnosis of otomycosis frequently relies on the patient's history, otoscopic examination and ascertained clinical features and therefore posing diagnostic and therapeutic challenges.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!