Otomycosis - Revision history

ClaireLewis at 22:12, 30 September 2019

2019-09-30T22:12:17Z

← Older revision		Revision as of 22:12, 30 September 2019
Line 4:		Line 4:
	*Found in 9% of [[otitis externa]] cases, and as many as 30.4% of cases of symptoms of otitis<ref name="Munguia">Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. Int J Pediatr Otorhinolaryngol. 2008 Apr;72(4):453-9. doi: 10.1016/j.ijporl.2007.12.005. Epub 2008 Feb 14.</ref>		*Found in 9% of [[otitis externa]] cases, and as many as 30.4% of cases of symptoms of otitis<ref name="Munguia">Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. Int J Pediatr Otorhinolaryngol. 2008 Apr;72(4):453-9. doi: 10.1016/j.ijporl.2007.12.005. Epub 2008 Feb 14.</ref>
	*More common in tropical/subtropical countries.		*More common in tropical/subtropical countries.
	*Common causes: ''[[Aspergillus ~~niger~~]]'' and ''[[Candida albicans]]''<ref name="Munguia" />		*Common causes: ''[[Aspergillus]] niger'' and ''[[Candida albicans]]''<ref name="Munguia" />
	*Risk factors:		*Risk factors:
	**Recent use of topical otic antibiotics		**Recent use of topical otic [[antibiotics]]
	**Topical or systemic steroids		**Topical or systemic [[steroids]]
	**Hearing aid use		**Hearing aid use
	**Pregnancy		**[[Pregnancy]]
	**Local trauma		**Local [[facial trauma\|trauma]]

	==Clinical Features==		==Clinical Features==
	*Similar to [[otitis externa]], but with more itching than pain		*Similar to [[otitis externa]], but with more itching than pain
	*Characteristic appearance on exam - appears like "mold growing on spoiled food"		*Characteristic appearance on exam - appears like "mold growing on spoiled food"
	*Otalgia		*[[Otalgia]]
	*Otorrhea		*Otorrhea
	*Hearing loss		*[[Hearing loss]]
	*~~Pruritis~~		*[[Pruritus]]
	*Tinnitus		*[[Tinnitus]]

	==Differential Diagnosis==		==Differential Diagnosis==
Line 29:		Line 29:
	==Management==		==Management==
	#Aural hygiene		#Aural hygiene
	#Topical antifungal		#Topical [[antifungal]]
	#*[[Clotrimazole]] - most effective agent (also has some antibacterial effect)		#*[[Clotrimazole]] - most effective agent (also has some antibacterial effect)
	#*[[Ketoconazole]]		#*[[Ketoconazole]]

Neil.m.young: Text replacement - "==Diagnostic Evaluation==" to "==Evaluation=="

2016-07-28T02:11:09Z

Text replacement - "==Diagnostic Evaluation==" to "==Evaluation=="

← Older revision		Revision as of 02:11, 28 July 2016
Line 24:		Line 24:
	{{Ear DDX}}		{{Ear DDX}}

	==~~Diagnostic~~ Evaluation==		==Evaluation==
	*Clinical diagnosis, based on history and physical examination		*Clinical diagnosis, based on history and physical examination

Rossdonaldson1: /* Management */

2015-09-09T15:02:04Z

Management

← Older revision		Revision as of 15:02, 9 September 2015
Line 28:		Line 28:

	==Management==		==Management==
	*Aural hygiene		#Aural hygiene
	*Topical antifungal		#Topical antifungal
	**Clotrimazole - most effective agent (also has some antibacterial effect)		#*[[Clotrimazole]] - most effective agent (also has some antibacterial effect)
	**Ketoconazole		#*[[Ketoconazole]]
	**Fluconazole		#*[[Fluconazole]]
	**Nystatin		#*[[Nystatin]]
	*Add PO antifungal tx if poor response to topical tx or severe disease		#Add PO antifungal treatment if poor response to topical treatment or severe disease

	==Disposition==		==Disposition==

Rossdonaldson1: /* Background */

2015-09-09T15:01:26Z

Background

← Older revision		Revision as of 15:01, 9 September 2015
Line 2:		Line 2:
	*Also known as fungal otitis externa or "Singapore Ear"		*Also known as fungal otitis externa or "Singapore Ear"
	*A superficial [[fungal infection]] of the outer ear canal		*A superficial [[fungal infection]] of the outer ear canal
	*Found in 9% of otitis externa cases, and as many as 30.4% of cases of symptoms of otitis<ref name="Munguia">Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. Int J Pediatr Otorhinolaryngol. 2008 Apr;72(4):453-9. doi: 10.1016/j.ijporl.2007.12.005. Epub 2008 Feb 14.</ref>		*Found in 9% of [[otitis externa]] cases, and as many as 30.4% of cases of symptoms of otitis<ref name="Munguia">Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. Int J Pediatr Otorhinolaryngol. 2008 Apr;72(4):453-9. doi: 10.1016/j.ijporl.2007.12.005. Epub 2008 Feb 14.</ref>
	*More common in tropical/subtropical countries.		*More common in tropical/subtropical countries.
	*Common causes: ''Aspergillus niger'' and ''Candida albicans''<ref name="Munguia" />		*Common causes: ''[[Aspergillus niger]]'' and ''[[Candida albicans]]''<ref name="Munguia" />
	*Risk factors:		*Risk factors:
	**Recent use of topical otic antibiotics		**Recent use of topical otic antibiotics

Rossdonaldson1: /* See Also */

2015-09-09T15:00:11Z

Mholtz at 07:38, 9 September 2015

2015-09-09T07:38:39Z

← Older revision		Revision as of 07:38, 9 September 2015
Line 24:		Line 24:
	{{Ear DDX}}		{{Ear DDX}}

	==~~Diagnosis~~==		==Diagnostic Evaluation==
			*Clinical diagnosis, based on history and physical examination

	==Management==		==Management==
Line 34:		Line 34:
	**Fluconazole		**Fluconazole
	**Nystatin		**Nystatin
			*Add PO antifungal tx if poor response to topical tx or severe disease

	==Disposition==		==Disposition==
Line 39:		Line 40:

	==See Also==		==See Also==
			*[[Fungal infections]]

	==External Links==		==External Links==

Mholtz at 07:35, 9 September 2015

2015-09-09T07:35:15Z

← Older revision		Revision as of 07:35, 9 September 2015
Line 1:		Line 1:
	==Background==		==Background==
	*Also known as "Singapore Ear"		*Also known as fungal otitis externa or "Singapore Ear"
	*A superficial [[fungal infection]] of the outer ear canal		*A superficial [[fungal infection]] of the outer ear canal
	*~~More common the tropical countries.~~		*Found in 9% of otitis externa cases, and as many as 30.4% of cases of symptoms of otitis<ref name="Munguia">Munguia R, Daniel SJ. Ototopical antifungals and otomycosis: a review. Int J Pediatr Otorhinolaryngol. 2008 Apr;72(4):453-9. doi: 10.1016/j.ijporl.2007.12.005. Epub 2008 Feb 14.</ref>
			*More common in tropical/subtropical countries.
	~~===Etiology~~.<ref>~~Vennewald "Otomycosis~~: ~~Diagnosis and treatment" Clin~~. ~~Dermatol~~. 28(2)~~;202–11 March 2010~~</ref>~~===~~		*Common causes: ''Aspergillus niger'' and ''Candida albicans''<ref name="Munguia" />
	*[[Aspergillus niger]]		*Risk factors:
	*~~[[Candida albicans]]~~		**Recent use of topical otic antibiotics
			**Topical or systemic steroids
			**Hearing aid use
			**Pregnancy
			**Local trauma

	==Clinical Features==		==Clinical Features==
	*Similar to [[otitis externa]], but with more itching than pain		*Similar to [[otitis externa]], but with more itching than pain
	*Characteristic appearance on exam; like mold growing on spoiled food		*Characteristic appearance on exam - appears like "mold growing on spoiled food"
	*~~Malodorous discharge, inflammation, pruritus, scaling, and severe discomfort~~		*Otalgia
	**~~Greyish white thick debris "wet blotting paper"~~		*Otorrhea
			*Hearing loss
			*Pruritis
			*Tinnitus

	==Differential Diagnosis==		==Differential Diagnosis==
Line 18:		Line 25:

	==Diagnosis==		==Diagnosis==


	==Management==		==Management==
	*~~Cleaning of ear canal (debridment)~~		*Aural hygiene
	*Topical antifungal		*Topical antifungal
			**Clotrimazole - most effective agent (also has some antibacterial effect)
			**Ketoconazole
			**Fluconazole
			**Nystatin

	==Disposition==		==Disposition==
			*Discharge

	==See Also==		==See Also==


	==External Links==		==External Links==

	==~~Sources~~==
			==References==
	<references/>		<references/>

	[[Category:ENT]]		[[Category:ENT]]
	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* Background */

2015-05-26T18:36:21Z

Background

← Older revision		Revision as of 18:36, 26 May 2015
Line 1:		Line 1:
	==Background==		==Background==
	*Also known as "Singapore Ear"		*Also known as "Singapore Ear"
	*A superficial [[fungal~~]] [[~~infection]] of the outer ear canal		*A superficial [[fungal infection]] of the outer ear canal
	*More common the tropical countries.		*More common the tropical countries.

Rossdonaldson1: /* Diangosis */

2015-05-26T18:35:45Z

Diangosis

← Older revision		Revision as of 18:35, 26 May 2015
Line 17:		Line 17:
	{{Ear DDX}}		{{Ear DDX}}

	==~~Diangosis~~==		==Diagnosis==

	==Management==		==Management==

Rossdonaldson1: /* Etiology.{{cite journal |author=Vennewald I, Klemm E |title=Otomycosis: Diagnosis and treatment |journal=Clin. Dermatol. |volume=28 |issue=2 |pages=202–11 |date=March 2010 |pmid=20347664 |doi=10.1016/j.clindermatol.2009.12.003 |url=http://linkingh...

2015-05-26T18:35:17Z

/* Etiology.{{cite journal |author=Vennewald I, Klemm E |title=Otomycosis: Diagnosis and treatment |journal=Clin. Dermatol. |volume=28 |issue=2 |pages=202–11 |date=March 2010 |pmid=20347664 |doi=10.1016/j.clindermatol.2009.12.003 |url=http://linkingh...

← Older revision		Revision as of 18:35, 26 May 2015
Line 4:		Line 4:
	*More common the tropical countries.		*More common the tropical countries.

	===Etiology.<ref ~~name="pmid18279975"/~~>~~<ref>{{cite journal \|author=~~Vennewald ~~I, Klemm E \|title=~~Otomycosis: Diagnosis and treatment ~~\|journal=~~Clin. Dermatol. ~~\|volume=~~28 ~~\|issue=~~2 ~~\|pages=~~202–11 ~~\|date=~~March 2010 ~~\|pmid=20347664 \|doi=10.1016/j.clindermatol.2009.12.003 \|url=http://linkinghub.elsevier.com/retrieve/pii/S0738-081X(09)00245-4}}~~</ref>===		===Etiology.<ref>Vennewald "Otomycosis: Diagnosis and treatment" Clin. Dermatol. 28(2);202–11 March 2010</ref>===
	*[[Aspergillus niger]]		*[[Aspergillus niger]]
	*[[Candida albicans]]		*[[Candida albicans]]

← Older revision		Revision as of 15:00, 9 September 2015
Line 41:		Line 41:
	==See Also==		==See Also==
	*[[Fungal infections]]		*[[Fungal infections]]
			*[[Ear diagnoses]]

	==External Links==		==External Links==