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Objective: Otomycosis is a common fungal ear infection in tropical and subtropical regions worldwide. This study aimed to perform mycological analysis on fungal debris from the external auditory canals of the patients to study the most common clinical presentation and fungal species distribution in otomycosis. Materials and Methods: Patients who met the inclusion criteria for this cross-sectional study were included and evaluated after providing written informed consent. After obtaining a thorough medical history, ear swabs for culture, sensitivity, and potassium hydroxide were provided. Patients with positive culture results were studied between September 2019 and March 2021. Results: Among 103 cases observed for 18 months in the Department of ENT, Rajarajeswari Medical College, and Hospital, Bengaluru, India, we found that males (56.31%) were more affected than females (43.68%). Itching (67.96%) was the most primary and common symptom that was observed, followed by pain (20.38%), and the most common predisposing factor was the usage of earbuds (26.21%) followed by water in the ear (23.3%) and oil in the ear (16.50%). Unilateral infection was most common (96%), and the left ear was most affected (64.07%). Aspergillus niger was the most common fungal isolate (60.19%), and otomycosis was very common in postmonsoon (October–December) (58.25%). Conclusion: The most frequent fungal isolates in otomycosis are from the Aspergillus and Candida species. The left ear was typically affected by otomycosis, which frequently had a unilateral predominance. The most common clinical symptoms were itching and pain.
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Background: Chronic suppurative otitis media (CSOM) is an inflammation of the middle ear irrespective of the etiology or pathogenesis. CSOM is a disease of multiple etiologies and is well known for its persistence and recurrence in spite of treatment. It is renowned for its arrival suffering disease. Aim: This study aims to study the bacterial pathogens and their antibiotic sensitivity pattern of ear infections in patients with chronic otitis media.Materials and Methods:This prospective study was conducted at the Department of ENT and Department of Microbiology, Medical College and Hospital, India, over a period of 1 year from January 2018 to December 2018. A total of 100 patients were included in this study. The ear discharge which is collected with sterile swabs is subjected to Gram’s staining and culture of the causative organism. Antibiotic sensitivity test of cultured bacterial growth is undertaken to know the susceptibility of the causative organism.Results: Of 100 samples, 72 were positive for microbial growth and 28 showed no growth. The most common bacteria causing CSOM was Pseudomonas aeruginosa in 43 (54.43%) of samples followed by Staphylococcus aureus 12 (15.19%), coagulase-negative staphylococci 9 (11.39%), Klebsiella pneumoniae 7 (8.86%), Escherichia coli 4 (5.06%), Proteus vulgaris 2 (2.53%), and Proteus mirabilis and Streptococcus pneumoniae 1 (1.27%) each. Susceptibility test was done for known the best antibiotic agents which can be used as a proper treatment to CSOM infection.Conclusions: In the present study, the most effective antibiotics agents for most of bacterial isolates were gentamicin, ciprofloxacin, amikacin, and chloramphenicol.
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Background: Ear infection is an inflammation of the ear. Ear discharge is one of the most common symptoms of ear infection. Approximately, 65-330 million people suffer from ear infection worldwide. Around 60% of them had significant hearing impairment Methods: The duration of study was over a period of one year.400 cases were included with ear infection. This study was conducted in the Department of ENT, K M Medical College & Hospital, Mathura. Result: This study suggested that 40% bacteria were P. aeruginosa followed by Proteus mirabilis, Klebsiella pneumoniae, E. coli & Citrobacter spp.in gram negative bacteria. Conclusion: This study suggested that Ciprofloxacin and gentamycin were the most sensitive against pseudomonas aeruginosa and Staphylococcus aureus. Use of antibiotics for treating Pseudomonas aeruginosa and Staphylococcus aureus infections in otitis media, alert us against indiscriminate usage of antibiotics to prevent development of resistance.
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@#<p style="text-align: justify;"><strong>OBJECTIVE:</strong> To present an unusual cause of pulsatile tinnitus, presenting in a young adult suffering from chronic recurrent foul-smelling discharge from the same ear.<br /><strong>METHODS:</strong><br /><strong>Design:</strong> Case Report<br /><strong>Setting:</strong> Tertiary National University Hospital<br /><strong>Patient:</strong> One<br /><strong>RESULTS:</strong> A 24 year-old woman presented with pulsatile tinnitus on a background of chronic recurrent foul-smelling discharge. Clinico-radiologic findings seemed consistent with a glomus tympanicum coexisting with chronic suppurative otitis media with cholesteatoma. She underwent tympanomastoidectomy with excision of the mass. Histopathologic evaluation revealed the mass to be granulation tissue.<br /><strong>CONCLUSION:</strong> Pulsatile tinnitus is rarely associated with chronic middle ear infection. Granulation tissue arising at the promontory may mimic glomus tumors when accompanied with this symptom. Despite this revelation, it would still be prudent to prepare for a possible glomus tumor intraoperatively so that profuse bleeding and complications may be avoided.</p>
Subject(s)
Humans , Female , Young Adult , Earache , Headache , Vertigo , Glomus Tumor , CholesteatomaABSTRACT
Ear infections occur in all age groups. Chronic Suppurative Otitis Media (CSOM) is the most common illness in ENT practice. It may even cause hearing impairment especially sensory – neural deafness if not treated properly and with caution. The study was undertaken to know the aerobic microbiological/bacteriological profile of ear discharge and variations in sensitivity pattern to treat the patients efficiently. A total of 71 patients who had discharging ear infection were included in this study. The most common microorganisms isolated were Pseudomonas aeruginosa and Staphylococcus aureus followed by Coagulase-Negative Staphylococci (CoNS), Klebsiella spp, Proteus spp and Escherichia coli. Among the commonly used topical antibiotics, Ciprofloxacin appear to be first line antibiotic (91.52% sensitive) to treat CSOM followed by Gentamycin (89.6% sensitive). However, the action of Chloramphenicol was low (59.53% sensitive). Ofloxacin can be used to treat CSOM due to Staphylococcus aureus other than Ciprofloxacin and Gentamycin.
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BACKGROUND AND OBJECTIVES: Recent microcomputer technology has created an ideal instrument for storing, organizing and reporting the increasing data of surgical treatments for chronic ear infection, one of the most prevalent diseases in Korea. This study is aimed at describing the structure of computerized database for chronic ear surgery and emphasizing the need for such a database not only for useful record keeping purposes but also for the purpose of reliable clinical study and statistical review. MATERIALS AND METHODS: Database was tailored using the dBase III plus program (Ashton-Tate Inc. version 1.01). A total of 93 fields were included within the five standardized categories which were, patient demographics, clinical assessment findings, operative findings, surgical procedures and postoperative follow-up records. A total of 598 records were collected from the surgeries involving chronic ear infection from 1989 to 1996. Data were statistically analyzed using SPSS PC+ for window (version 6.0) program. RESULTS: Data on the laterality of the disease, hearing status of the operated ear, number of operations performed on the ear, diagnoses, preoperative complications, types of surgery performed, and pre- and post-operative hearing level could all be easily drawn from the database log. The postoperative eardrum perforation rate did not differ significantly among the cases with regards to different prognostic factors, such as existence of cholesteatoma, execution of ossicular chain reconstruction, closed vs open cavity mastoidectomy, primary vs revision operation and the use of synthetic prosthesis (p<0.05). CONCLUSION: A database of this kind will enable us to perform a rapid and accurate assessment of sytematized data, use compatible terminology and classification, and receive feedback on surgeon's own surgical protocols.