Epidemiology, causative agents, and risk factors affecting humanotomycosis infections

Background/aim: Otomycosis, or fungal otitis externa, has typically been described as fungal infection of the external auditory canal, with infrequent complications involving the middle ear. This study assessed a mycological analysis of fungal debris from external auditory canals of patients at Tanta University Hospital, Gharbia Governorate, Egypt. Materials and methods: The samples were collected over a year from the 110 patients that were clinically diagnosed to have otomycosis. The samples were then inoculated and culture plates were examined for the presence of fungal growth. Results: The results showed that Aspergillus niger was the most common fungus causing otomycosis. It was more common among males aged 21-40 years. The incidence was higher in the summer and spring seasons. Manual workers and students had the highest frequency based on occupational incidence. The most common presenting complaint was itching. Trauma to the external auditory canal was the most common predisposing factor. Conclusion: The epidemiological profile of otomycosis infection varied according to different factors in the study population.

Epidemiology, causative agents, and risk factors affecting human otomycosis infections

Background/aim: Otomycosis, or fungal otitis externa, has typically been described as fungal infection of the external auditory canal, with infrequent complications involving the middle ear. This study assessed a mycological analysis of fungal debris from external auditory canals of patients at Tanta University Hospital, Gharbia Governorate, Egypt. Materials and methods: The samples were collected over a year from the 110 patients that were clinically diagnosed to have otomycosis. The samples were then inoculated and culture plates were examined for the presence of fungal growth. Results: The results showed that Aspergillus niger was the most common fungus causing otomycosis. It was more common among males aged 21-40 years. The incidence was higher in the summer and spring seasons. Manual workers and students had the highest frequency based on occupational incidence. The most common presenting complaint was itching. Trauma to the external auditory canal was the most common predisposing factor. Conclusion: The epidemiological profile of otomycosis infection varied according to different factors in the study population.

___

  • Wang M, Liu C, Shiao A, Wang T. Ear problems in swimmers. J Chin Med Assoc 2005; 68: 347–352.
  • Loh K, Tan K, Kumarasinghe B. Otitis externa - the clinical pattern in a tertiary institution in Singapore. Ann Acad Med Singapore 1998; 27: 215–218.
  • Zaror L, Fischma, O, Suzuki F. Otomycosis in Sao Paulo. Inst Med Trop 1991; 33: 169–173.
  • Ozcan K, Ozcan M, Karaaslan A, Karaaslan F. Otomycosis in Turkey: predisposing factors, aetiology and therapy. J Laryngol Otol 2003; 117: 39–42.
  • Hammad M. Role of clinical and microscpical examination in diagnosis of fungal external otitis. MSc, El-Minia University, El-Minia, Egypt, 1993.
  • Araiza J, Canseco P, Bonifaz A. Otomycosis: clinical and mycological study of 97 cases. Rev Laryngol Otol Rhinol 2006; 127: 251–254.
  • Miertusova S, Simaljakova M. Yeasts and fungi isolated at the mycology laboratory at the first dermato venereology clinic of medical faculty hospital of Comenius University in Bratislava. Epidemiol Mikrobiol Imunol 2003; 52: 76–80.
  • Raper K, Fennel A. The Genus Aspergillus. Baltimore, MD, USA: Williams and Wilkins; 1965.
  • Kaur R, Mittal N, Kakkar M. Otomycosis: a clinicomycologic study. Ear Nose Throat J 2000; 79: 606–609.
  • Schuster E, Dunn-Coleman N, Frisvad J. On the safety of Aspergillus niger – a review. Appl Microbiol Biotechnol 2002; 59: 426–435.
  • Jadhav V, Pal M, Mishra G. Etiological significance of Candida albicans and Aspergillus sp. in otitis externa. Mycopathologia 2003; 156: 313–315.
  • Vennewald I, Schönlebe J, Klemm E. Mycological and histological investigations in humans with middle ear infections. Mycoses 2003; 46: 12–18.
  • Ho T, Vrabec JT, Yoo D, Coker NJ. Otomycosis: clinical features and treatment implications. Otolaryngol Head Neck Surg 2006; 135: 787–791.
  • Ashish K. Fungal spectrum in otomycosis patients. J Laryngol Otol 2005; 7: 30–35.
  • Jackman A, Ward R, April M, Bent J. Topical antibiotic induced otomycosis. Int J Pediatr Otorhinolaryngol 2008; 69: 857–860.
  • Hoshino T, Matsumoto M. Otomycosis: subdermal growth in calcified mass. Eur Arch Otorhinolaryngol 2006; 263: 875–878.
  • Ahmed J. A clinicopathological study of otomycosis. MSc, J. M. Medical College, Davangere, India, 2006.
  • Fasunla J, Ibekwe T, Onakoya P. Otomycosis in western Nigeria. Mycoses 2008; 51: 67–70.
  • Pontes Z, Silva A, Lima E, Guerra M, Oliveira N. Otomycosis: a retrospective study. Braz J Otorhinolaryngol 2009; 75: 367– 370.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Healthy subjects' knowledge of surgical complications: a hospital-based survey

Ersin Gürkan DUMLU, Mehmet KILIÇ, Levent ÖZTÜRK, Mehmet TOKAÇ, Ömer PARLAK, Abdussamed YALÇIN

Value of prealbumin in assessment of nutrition for critically ill patients (Reply to Letter to the Editor:)

Mehmet KILIÇ, Levent ÖZTÜRK, Mehmet TOKAÇ, Birkan BOZKURT, Ersin Gürkan DUMLU, Abdussamed YALÇIN, Mesut ÖZDEDEOĞLU

Urinary incontinence among women registered with a family health center in the Southeastern Anatolia Region and the factors affecting its prevalence

Fatma GÖZÜKARA, İbrahim KORUK, Burcu KARA

Prevalence of Helicobacter pylori cagA, babA2, and dupA genotypes andcorrelation with clinical outcome in Malaysian patients with dyspepsia

Hussein Ali OSMAN, Habsah HASAN, Rapeah SUPPIAN, Syed HASSAN, Dzulkarnaen Zakaria ANDEE, Noorizan Abdul MAJID, Bin Alwi ZILFALIL

Periocular changes in topical bimatoprost and latanoprost use

Melisa Zişan KARSLIOĞLU, Melek Banu HOŞAL, Oya TEKELİ

Multidrug resistance and integron carriage in clinical isolates ofPseudomonas aeruginosa in Tehran, Iran

Somayeh Moazami GOUDARZI, Fereshteh EFTEKHAR

Evaluation of GCF MMP-1, MMP-8, TGF-β1, PDGF-AB, and VEGF levels in periodontally healthy smokers

Harika ATMACA, Fatma Gül ATİLLA, Hatice Oya TÜRKOĞLU, Gülnihal EREN

Determining the health beliefs and breast cancer fear levels ofwomen regarding mammography

Fatma ERSİN, Fatma GÖZÜKARA, Perihan POLAT, Gözde ERÇETİN, Mehmet Ekrem BOZKURT

A study of the effect of Bacillus thuringiensis serotype H14 (subspecies israelensis)delta endotoxin on Musca larva

Mohammad Reza MEHRABI, Laya ZOGHIMOFRAD, Mahboubeh MAZINANI, Azim AKBARZADEH, Amirabbas RAHIMI

Esophageal replacement by hydroxylated bacterial cellulose patch in a rabbit model

Changlai ZHU, Fang LIU, Wenbo QIAN, Yingjie WANG, Qingsheng YOU, Tianyi ZHANG, Feng LI