Necrotising otitis externa: A single centre experience.

Diagnosis Fungi Otitis externa Pseudomonas Therapeutics

Journal

Journal of otology
ISSN: 2524-1753
Titre abrégé: J Otol
Pays: China
ID NLM: 101484080

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 22 04 2020
revised: 10 07 2020
accepted: 22 07 2020
entrez: 28 1 2021
pubmed: 29 1 2021
medline: 29 1 2021
Statut: ppublish

Résumé

Necrotising otitis externa (NOE) is a rare infection of the ear canal with frequent bone erosion. This study's objective is to describe the different features of NOE as well as its management in an ear-nose-throat department. We also tried to identify the particularities of the fungal infection. It is an observational cohort that included all the patients hospitalised for the management of NOE. The study was carried out in the ear-nose-throat Department of Mahdia University Hospital in Tunisia between January 2006 and december 2019. A total of 40 patients were included. The mean age was 65 ± 12.9 years and the sex ratio was 0.9. Ninety percent of the patients included were diabetics. The most common signs found were oedema of the external canal (97.5%) and auricular discharge (92.5%). The main pathogen isolated was Our management protocol seems to be efficient since all patients had initial favorable outcome. A higher median erythrocyte sedimentation rate was associated with fungal infections.

Identifiants

pubmed: 33505446
doi: 10.1016/j.joto.2020.07.005
pii: S1672-2930(20)30065-9
pmc: PMC7814081
doi:

Types de publication

Journal Article

Langues

eng

Pagination

22-26

Informations de copyright

© 2020 PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest relevant to this manuscript to disclose.

Références

Laryngoscope. 2014 Feb;124(2):361-2
pubmed: 24105671
WMJ. ;115(6):317-21
pubmed: 29094869
Tunis Med. 2016 Dec;94(12):863
pubmed: 28994886
Eur Arch Otorhinolaryngol. 2012 Mar;269(3):807-11
pubmed: 21833561
Laryngoscope. 2019 Apr;129(4):961-966
pubmed: 30549258
J Laryngol Otol. 2018 Jan;132(1):71-74
pubmed: 29173202
Aust J Rural Health. 2019 Feb;27(1):78-82
pubmed: 30698313
J Laryngol Otol. 2018 Sep;132(9):775-779
pubmed: 30149824
Acta Otolaryngol. 2017 Aug;137(8):818-822
pubmed: 28301961
Clin Microbiol Infect. 2016 May;22(5):434-7
pubmed: 26802213
Otol Neurotol. 2018 Jun;39(5):597-601
pubmed: 29738387
J Otol. 2019 Jun;14(2):63-66
pubmed: 31223303
Otol Neurotol. 2019 Jan;40(1):56-62
pubmed: 30239427
Ann Otol Rhinol Laryngol. 2018 Aug;127(8):514-520
pubmed: 29962250
J Mycol Med. 2018 Sep;28(3):574-584
pubmed: 29773435
Eur Arch Otorhinolaryngol. 2019 Jul;276(7):1881-1887
pubmed: 31165255
Otol Neurotol. 2013 Jun;34(4):620-9
pubmed: 23598690
Diagn Microbiol Infect Dis. 2017 Jan;87(1):74-78
pubmed: 27806892
J Laryngol Otol. 2015 Jun;129(6):600-3
pubmed: 25990028

Auteurs

Mehdi Hasnaoui (M)

Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar Hospital, Mahdia, 5100, Tunisia.

Asma Ben Mabrouk (A)

Department of Infectious Diseases, Fattouma Bourguiba Hospital, Monastir, 5000, Tunisia.

Jihene Chelli (J)

Department of Endocrinology and Internal Medicine, Tahar Sfar Hospital, Mahdia, 5100, Tunisia.

Fatma Larbi Ammari (F)

Department of Endocrinology and Internal Medicine, Tahar Sfar Hospital, Mahdia, 5100, Tunisia.

Rihab Lahmar (R)

Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar Hospital, Mahdia, 5100, Tunisia.

Adnene Toumi (A)

Department of Infectious Diseases, Fattouma Bourguiba Hospital, Monastir, 5000, Tunisia.

Khalifa Mighri (K)

Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar Hospital, Mahdia, 5100, Tunisia.

Classifications MeSH