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Brazilian Journal of Otorhinolaryngology

Otomycosis: a retrospective study.

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Zélia Braz Vieira da Silva Pontes
Anna Débora Ferreira Silva
Edeltrudes de Oliveira Lima
Márcio de Holanda Guerra
Neuza Maria Cavalcanti Oliveira
Maria de Fátima Farias Peixoto Carvalho
Felipe Sarmento Queiroga Guerra

关键词

抽象

Otomycosis is a fungal infection of the external ear canal with only a few studies about its real frequency in Brazil.

OBJECTIVE

to evaluate otomycosis frequency and characteristics in patients with clinical suspicion of external otitis.

METHODS

Retrospective study with transversal cohort (2000-2006).

METHODS

103 patients were assigned to mycological diagnosis (direct microscopic examination and culture).

RESULTS

Otomycosis was diagnosed in 19.4% of the patients. Patient age varied from 2 to 66 years (an average of 23.5 years of age), and 60% of otomycosis cases were seen in women between 2 to 20 years of age. Chronic otitis, previous antibiotic therapy and the lack of cerumen were predisposing factors; itching, otalgia, otorrhea and hypoacusis were the symptoms reported by the patients. The most frequently isolated species were C. albicans (30%), C. parapsilosis (20%), A. niger (20%), A. flavus (10%), A. fumigatus (5%), C. tropicalis (5%), Trichosporon asahii (5%) and Scedosporium apiospermum (5%).

CONCLUSIONS

Otomycosis is endemic in João Pessoa-PB. Clinical exam and mycological studies are important for diagnostic purposes because otomycosis symptoms are not specific.

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