Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis
Fungal malignant otitis externa (FMOE) is a serious and potentially life-threatening condition that is challenging to manage. Diagnosis is often delayed due to the low sensitivity of aural swabs and many antifungal drugs have significant side effects. We present a case of FMOE, where formal tissue s...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2014/192318 |
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| _version_ | 1832565527974772736 |
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| author | Jenny Walton Chris Coulson |
| author_facet | Jenny Walton Chris Coulson |
| author_sort | Jenny Walton |
| collection | DOAJ |
| description | Fungal malignant otitis externa (FMOE) is a serious and potentially life-threatening condition that is challenging to manage. Diagnosis is often delayed due to the low sensitivity of aural swabs and many antifungal drugs have significant side effects. We present a case of FMOE, where formal tissue sampling revealed the diagnosis and the patient was successfully treated with voriconazole, in addition to an up to date review of the current literature. We would recommend tissue biopsy of the external auditory canal in all patients with suspected FMOE in addition to routine microbiology swabs. |
| format | Article |
| id | doaj-art-b8f24c4452de454199084f57469b1cca |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-b8f24c4452de454199084f57469b1cca2025-02-03T01:07:30ZengWileyCase Reports in Otolaryngology2090-67652090-67732014-01-01201410.1155/2014/192318192318Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids DiagnosisJenny Walton0Chris Coulson1Department of Otorhinolaryngology, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham B15 2WB, UKDepartment of Otorhinolaryngology, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham B15 2WB, UKFungal malignant otitis externa (FMOE) is a serious and potentially life-threatening condition that is challenging to manage. Diagnosis is often delayed due to the low sensitivity of aural swabs and many antifungal drugs have significant side effects. We present a case of FMOE, where formal tissue sampling revealed the diagnosis and the patient was successfully treated with voriconazole, in addition to an up to date review of the current literature. We would recommend tissue biopsy of the external auditory canal in all patients with suspected FMOE in addition to routine microbiology swabs.http://dx.doi.org/10.1155/2014/192318 |
| spellingShingle | Jenny Walton Chris Coulson Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis Case Reports in Otolaryngology |
| title | Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis |
| title_full | Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis |
| title_fullStr | Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis |
| title_full_unstemmed | Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis |
| title_short | Fungal Malignant Otitis Externa with Facial Nerve Palsy: Tissue Biopsy Aids Diagnosis |
| title_sort | fungal malignant otitis externa with facial nerve palsy tissue biopsy aids diagnosis |
| url | http://dx.doi.org/10.1155/2014/192318 |
| work_keys_str_mv | AT jennywalton fungalmalignantotitisexternawithfacialnervepalsytissuebiopsyaidsdiagnosis AT chriscoulson fungalmalignantotitisexternawithfacialnervepalsytissuebiopsyaidsdiagnosis |