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Otitis externa

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https://www.readbyqxmd.com/read/27908938/a-rare-case-of-extensive-cranial-langerhans-cell-histiocytosis-synchronously-presenting-as-otitis-externa-and-giant-cell-arteritis
#1
Adnan Darr, Zahir Mughal, Thomas Martin
Langerhans cell histiocytosis (LCH) is a rare histiocytic disorder of unpredictable clinical course and varied modes of presentation. The spectrum of presentation is wide, ranging from isolated eosinophilic granulomas to multiple lesions and diffuse systemic involvement. We present the case of a 52-year-old man, who presented with an 8-week history of worsening otalgia and superficial temporal tenderness attributed to otitis externa within the community and subsequently giant cell arteritis. Computed tomography and magnetic resonance imaging were undertaken due to atypical features, which demonstrated bony destruction within the right greater wing of the sphenoid, squamous part of temporal and mastoid bone, with middle cranial fossa communication...
December 1, 2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27882553/malignant-otitis-externa-hospitalizations-analysis-of-patient-characteristics
#2
Michael J Sylvester, Saurin Sanghvi, Viral M Patel, Jean Anderson Eloy, Yu-Lan Mary Ying
OBJECTIVES/HYPOTHESIS: Malignant otitis externa (MOE) is a rare disorder that is not well studied in the inpatient setting. The Nationwide Inpatient Sample (NIS) database was utilized to analyze characteristics and predischarge outcomes of hospitalized MOE patients. METHODS: MOE hospitalizations were identified in the 2002 to 2013 NIS. Patient demographics, length of hospital stay, hospital charges, concomitant diagnoses, treatment-related procedures, complications, and in-hospital mortality rates were examined, with comparisons made among age cohorts and between diabetes mellitus (DM) and non-DM groups...
November 24, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27870236/prior-antimicrobial-use-as-a-risk-factor-for-resistance-in-selected-staphylococcus-pseudintermedius-isolates-from-the-skin-and-ears-of-dogs
#3
Gila Zur, Bella Gurevich, Daniel Elad
BACKGROUND: Antimicrobial resistance within bacteria continues to present therapeutic challenges. One presumed risk factor for increased rates of resistance is prior exposure to antimicrobial drugs. OBJECTIVES: To examine the impact of time since most recent exposure, the number of prior antimicrobial exposures and duration of use on antimicrobial resistance rates in Staphylococcus pseudintermedius isolates. METHODS: Inclusion of a case in the study required laboratory isolation of S...
December 2016: Veterinary Dermatology
https://www.readbyqxmd.com/read/27810214/comparison-of-ultrasound-imaging-and-video-otoscopy-with-cross-sectional-imaging-for-the-diagnosis-of-canine-otitis-media
#4
J Classen, A Bruehschwein, A Meyer-Lindenberg, R S Mueller
Ultrasound imaging (US) of the tympanic bulla (TB) for diagnosis of canine otitis media (OM) is less expensive and less invasive than cross-sectional imaging techniques including computed tomography (CT) and magnetic resonance imaging (MRI). Video otoscopy (VO) is used to clean inflamed ears. The objective of this study was to investigate the diagnostic value of US and VO in OM using cross-sectional imaging as the reference standard. Client owned dogs with clinical signs of OE and/or OM were recruited for the study...
November 2016: Veterinary Journal
https://www.readbyqxmd.com/read/27806892/necrotizing-otitis-externa-diagnosis-treatment-and-outcome-in-a-case-series
#5
Eran Glikson, Doron Sagiv, Michael Wolf, Yisgav Shapira
We reviewed 25 cases of patients diagnosed with necrotizing otitis externa in our tertiary university-affiliated medical center between 2009 and 2015. Mean overall hospitalization duration was 14.52days, 95% of the patients showed specific seasonal incidence. Mean duration of symptoms prior to hospitalization was 6weeks and the duration correlated with outcome. Only 8% of the patients presented with cranial neuropathies; however, this presentation correlated with adverse outcome. Pseudomonas aeruginosa was the main causative organism (50%), with a 30% multidrug-resistance rate...
October 18, 2016: Diagnostic Microbiology and Infectious Disease
https://www.readbyqxmd.com/read/27783901/otoscopic-examinations-reveal-high-prevalence-of-outer-and-middle-ear-pathologies-in-paediatrics-in-limpopo-south-africa
#6
Mukovhe Chad Phanguphangu
OBJECTIVE: To determine the prevalence of outer and middle ear pathologies in paediatrics in Limpopo, South Africa. DESIGN: Cross-sectional retrospective review of otoscopy results obtained during a school health screening campaign conducted between March and June 2015. Descriptive statistics through percentages and frequency tables were used to analyse the data. Logistic regression was used to determine associations between age, gender and pathologies observed...
October 26, 2016: International Journal of Audiology
https://www.readbyqxmd.com/read/27770104/otitis-externa-lecture-online
#7
(no author information available yet)
No abstract text is available yet for this article.
October 22, 2016: Veterinary Record
https://www.readbyqxmd.com/read/27756390/determination-of-n-acylhomoserine-lactones-of-pseudomonas-aeruginosa-in-clinical-samples-from-dogs-with-otitis-externa
#8
Darja Kušar, Karin Šrimpf, Petra Isaković, Lina Kalšek, Javid Hosseini, Irena Zdovc, Tina Kotnik, Modest Vengušt, Gabrijela Tavčar-Kalcher
BACKGROUND: Bacterial intercellular communication, called quorum sensing, takes place via the production and collective response to signal molecules. In Gram-negative bacteria, like Pseudomonas aeruginosa, these signaling molecules are N-acylhomoserine lactones (AHLs). P. aeruginosa is a common cause of inflammation of the ear canal (otitis externa) in dogs. It employs quorum sensing to coordinate the expression of host tissue-damaging factors, which are largely responsible for its virulence...
October 18, 2016: BMC Veterinary Research
https://www.readbyqxmd.com/read/27753775/scedosporium-prolificans-otitis-externa
#9
Sophie C H Wen, Damien Phillips, Amanda Gwee
No abstract text is available yet for this article.
November 2016: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27747880/topical-ear-treatment-options-indications-and-limitations-of-current-therapy
#10
S Paterson
Topical otic products form an integral part of the overall management of otitis externa. With an ever increasing array of ear drops and cleaners to choose from, appropriate selection of therapy can be difficult. The investigation of all cases of otitis externa should consider primary and secondary causes and predisposing and perpetuating factors. This article considers topical therapy under these same broad headings and discusses, through literature review, the various properties of the components of the ear cleaning solutions and drops...
October 16, 2016: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/27730788/skull-base-osteomyelitis-caused-by-an-elegant-fungus
#11
Sharafine Stephen, Beula Subashini, Regi Thomas, Ajay Philip, Rajan Sundaresan
Malignant otitIs externa (skull base osteomyelitis) is predominantly caused by bacteria while fungal etiology is rare. We report a middle aged diabetic gentleman who succumbed to invasive skull base infection due to Apophysomyces elegans a fungus belonging to Zygomycetes which causes only skin and soft tissue infections. Mortality and invasive infections due to this genus is rarely reported, especially in the ear.
February 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27703821/external-otitis-an-unusual-presentation-in-neonates
#12
Peymaneh Alizadeh Taheri, Shima Rostami, Manelie Sadeghi
Acute otitis externa (AOE) is an infection of the external auditory canal, the auricle, and the outer surface of the tympanic membrane. Although AOE is one of the most common otologic conditions encountered in pediatric population, it is known to primarily affect children older than 2 years. We report a case of AOE caused by Staphylococcus aureus in a 23-day-old neonate. A 23-day-old female infant presented to our neonatology clinic with irritability and discharge from the right ear. There were yellow otorrhea, mild erythema, and edema of right external ear canal...
2016: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/27659382/delayed-diagnosis-of-central-skull-base-osteomyelitis-with-abscess-case-report-and-learning-points
#13
G Chawdhary, S Hussain, R Corbridge
Central skull-base osteomyelitis (CSBO) is a rare life-threatening infection, usually resulting from medial spread of necrotising otitis externa. Here, we describe a case with no identifiable source of infection, causing a delay in diagnosis. An 80-year-old man with Crohn's disease treated with mesalazine presented with collapse and tonic-clonic seizure. Computed tomography and magnetic resonance imaging showed a nasopharyngeal mass that was initially thought to be a neoplasm. Awaiting formal biopsy, he represented with collapse and repeat imaging showed features of abscess formation...
September 23, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27630871/comparison-of-boric-acid-and-combination-drug-of-polymyxin-neomycin-and-hydrocortisone-polymyxin-nh-in-the-treatment-of-acute-otitis-externa
#14
Soroush Amani, Mohammad Moeini
INTRODUCTION: Acute otitis externa is an inflammation of the external auditory canal known as "swimmer's ear". Direct costs including medical treatment, painkillers, antibiotics, steroids or both and indirect costs are also remarkable. AIM: The aim of this study was to compare the effect of boric acid and polymyxin, neomycin and hydrocortisone composition in the treatment of acute otitis externa. MATERIALS AND METHODS: This randomized clinical trial was carried out on 80 patients aged more than 17-year-old who were referred to Kashani hospital clinic with a diagnosis of acute otitis externa by otolaryngologist...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27613266/scedosporium-apiospermum-a-rare-cause-of-malignant-otitis-externa
#15
Oliver McLaren, Christian Potter
A 79-year-old man, with a history of well-controlled diabetes mellitus, presented with left-sided otalgia. With an initial diagnosis of simple otitis externa, he was discharged on topical drops. He represented 2 months later with worsening otalgia and discharge. A diagnosis of malignant otitis externa was made based on clinical and radiological findings. Intravenous Tazocin and Gentamicin were given based on previous bacterial culture from ear swabs. The patient failed to improve and developed left-sided facial nerve palsy...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27605951/ear-related-problems-among-children-attending-the-paediatric-and-otorhinolaryngology-out-patients-clinics-of-the-university-of-nigeria-teaching-hospital-enugu
#16
G C Ilechukwu, Cga Ilechukwu, B C Ezeanolue, I J Okoroafor, N C Ojinnaka, A C Ubesie, G O Emechebe, J Eze
BACKGROUND: Ear related diseases are commonly seen in clinics worldwide especially among children. They are associated with significant morbidity and frequent hospital visits. Limited data exists regarding the burden of ear disease among Nigerian children. OBJECTIVE: To determine the prevalence of ear-related problems among children presenting at the Paediatric and Otorhinolaryngology clinics of the University of Nigeria Teaching Hospital, Enugu. MATERIALS AND METHODS: This was a cross-sectional study conducted at the Paediatric and Otorhinolaryngology Clinics of the University of Nigeria Teaching Hospital Enugu...
June 2016: African Health Sciences
https://www.readbyqxmd.com/read/27597916/a-case-of-skull-base-osteomyelitis-with-multiple-cerebral-infarction
#17
Haruka Miyabe, Atsuhiko Uno, Takahiro Nakajima, Natsue Morizane, Keisuke Enomoto, Masayuki Hirose, Toshinori Hazama, Yukinori Takenaka
Skull base osteomyelitis is classically documented as an extension of malignant otitis externa. Initial presentation commonly includes aural symptoms and cranial nerve dysfunctions. Here we present a case that emerged with multiple infarctions in the right cerebrum. A male in his 70s with diabetes mellitus and chronic renal failure presented with left hemiparesis. Imaging studies showed that blood flow in the carotid artery remained at the day of onset but was totally occluded 7 days later. However, collateral blood supply prevented severe infarction...
2016: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/27570137/proliferative-and-necrotizing-otitis-externa-in-a-kitten-successful-treatment-with-intralesional-and-topical-corticosteroid-therapy
#18
Yutaka Momota, Junya Yasuda, Mitsutaka Ikezawa, Jun Sasaki, Masaaki Katayama, Kenji Tani, Masahiro Miyabe, Eri Onozawa, Daigo Azakami, Katsumi Ishioka, Toshinori Sako
Proliferative and necrotising otitis externa (PNOE) is a very rare disease affecting the ear canals and concave pinnae of kittens. This report describes a 5-month-old cat with PNOE. Histopathological examination confirmed the diagnosis. Treatment was initiated with local injection of methylprednisolone acetate into the lesions. The cat was subsequently treated with clobetasol propionate cream, a potent topical glucocorticoid ointment. The cat showed marked improvement. While topical treatment with tacrolimus, an immunosuppressive agent, is reported to be an effective therapy, to the best of our knowledge, this is the first report to treat PNOE with local corticosteroid therapy...
August 28, 2016: Journal of Veterinary Medical Science
https://www.readbyqxmd.com/read/27545352/in-vitro-antimicrobial-activity-of-a-gel-containing-antimicrobial-peptide-amp2041-chlorhexidine-digluconate-and-tris-edta-on-clinical-isolates-of-pseudomonas-aeruginosa-from-canine-otitis
#19
Giovanni Ghibaudo, Davide Santospirito, Andrea Sala, Sara Flisi, Simone Taddei, Sandro Cavirani, Clotilde Silvia Cabassi
BACKGROUND: Pseudomonas aeruginosa (PA) may cause suppurative otitis externa with severe inflammation and ulceration in dogs. Multidrug resistance is commonly reported for this organism, creating a difficult therapeutic challenge. OBJECTIVE: The aim of this study was to evaluate the in vitro antimicrobial activity of a gel containing 0.5 μg/mL of antimicrobial peptide AMP2041, 0.07% chlorhexidine digluconate (CLX), 0.4% Tris and 0.1% EDTA on 30 clinical isolates of PA from canine otitis externa...
October 2016: Veterinary Dermatology
https://www.readbyqxmd.com/read/27529998/species-composition-of-malassezia-yeasts-in-dogs-in-slovakia
#20
Zuzana Sihelská, Peter Váczi, Eva Conková
Malassezia (M.) pachydermatis is the lipophilic yeast, which is normally present on the skin and in the ear canal of dogs but under certain conditions it may cause dermatitis and otitis. There is less known about the occurrence of lipid-dependent Malassezia species in dogs. The aim of this study was to detect whether lipid-dependent yeasts are part of the normal microflora in dogs. Two groups of animals were selected for comparison. The group of healthy dogs contained samples of 118 individuals and the group of dogs with cutaneous lesions or otitis externa comprised 328 dogs...
July 2016: Berliner und Münchener Tierärztliche Wochenschrift
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