Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis
Coccidioidomycosis involving the ear, mastoid bone, or both is uncommon. We describe 5 new cases from the United States and review 4 cases reported in the literature of otomycosis and mastoiditis caused by Coccidioides. Of the 9 cases, 8 were linked to residence in or travel to California. Two pati...
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| Format: | Article |
| Language: | English |
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Centers for Disease Control and Prevention
2023-07-01
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| Series: | Emerging Infectious Diseases |
| Subjects: | |
| Online Access: | https://wwwnc.cdc.gov/eid/article/29/7/23-0129_article |
| _version_ | 1797797625730170880 |
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| author | Ilan S. Schwartz Caitlyn Marek Harleen Sandhu Ahmed Abdelmonem Greti Petersen Emma Dishner Arash Heidari George R. Thompson |
| author_facet | Ilan S. Schwartz Caitlyn Marek Harleen Sandhu Ahmed Abdelmonem Greti Petersen Emma Dishner Arash Heidari George R. Thompson |
| author_sort | Ilan S. Schwartz |
| collection | DOAJ |
| description |
Coccidioidomycosis involving the ear, mastoid bone, or both is uncommon. We describe 5 new cases from the United States and review 4 cases reported in the literature of otomycosis and mastoiditis caused by Coccidioides. Of the 9 cases, 8 were linked to residence in or travel to California. Two patients had poorly controlled diabetes mellitus, 7 had otomastoiditis, 1 had otitis externa without mastoid involvement, and 1 had mastoiditis without otic involvement. Four patients had concurrent or prior pulmonary coccidioidomycosis. Ipsilateral facial nerve palsies developed in 2 patients. All patients received antifungal treatment for varying durations, and 8 of the 9 patients underwent surgical debridement. Clinicians should consider coccidioidomycosis as a differential diagnosis for otomastoiditis in patients with geographic risks.
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| first_indexed | 2024-03-13T03:51:12Z |
| format | Article |
| id | doaj.art-c513eb4657264830b1c0495865c27e68 |
| institution | Directory Open Access Journal |
| issn | 1080-6040 1080-6059 |
| language | English |
| last_indexed | 2024-03-13T03:51:12Z |
| publishDate | 2023-07-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj.art-c513eb4657264830b1c0495865c27e682023-06-22T13:43:07ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-07-012971297130110.3201/eid2907.230129Multicentric Case Series and Literature Review of Coccidioidal OtomastoiditisIlan S. SchwartzCaitlyn MarekHarleen SandhuAhmed AbdelmonemGreti PetersenEmma DishnerArash HeidariGeorge R. Thompson Coccidioidomycosis involving the ear, mastoid bone, or both is uncommon. We describe 5 new cases from the United States and review 4 cases reported in the literature of otomycosis and mastoiditis caused by Coccidioides. Of the 9 cases, 8 were linked to residence in or travel to California. Two patients had poorly controlled diabetes mellitus, 7 had otomastoiditis, 1 had otitis externa without mastoid involvement, and 1 had mastoiditis without otic involvement. Four patients had concurrent or prior pulmonary coccidioidomycosis. Ipsilateral facial nerve palsies developed in 2 patients. All patients received antifungal treatment for varying durations, and 8 of the 9 patients underwent surgical debridement. Clinicians should consider coccidioidomycosis as a differential diagnosis for otomastoiditis in patients with geographic risks. https://wwwnc.cdc.gov/eid/article/29/7/23-0129_articlecoccidioidomycosisfungilung diseasesrespiratory infectionsfungalotomycosis |
| spellingShingle | Ilan S. Schwartz Caitlyn Marek Harleen Sandhu Ahmed Abdelmonem Greti Petersen Emma Dishner Arash Heidari George R. Thompson Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis Emerging Infectious Diseases coccidioidomycosis fungi lung diseases respiratory infections fungal otomycosis |
| title | Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis |
| title_full | Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis |
| title_fullStr | Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis |
| title_full_unstemmed | Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis |
| title_short | Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis |
| title_sort | multicentric case series and literature review of coccidioidal otomastoiditis |
| topic | coccidioidomycosis fungi lung diseases respiratory infections fungal otomycosis |
| url | https://wwwnc.cdc.gov/eid/article/29/7/23-0129_article |
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