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SIIA Público
SISTEMA INTEGRAL DE INFORMACIÓN ACADÉMICA - PÚBLICO
Título del libro: Aspergillosis: From Diagnosis To Prevention Título del capítulo: Aspergillus Otitis
Aspergillus otitis is a superficial mycosis that usually affects the
external auditory canal. It is the most frequent aetiology of
otomycosis, with Aspegillus niger and Aspergillus flavus being the most
frequent agents. It is a cosmopolitan condition that occurs more often
in warm and humid climates, usually affecting young adults. Major
predisposing factors include: humidity, poor hygiene and treatment with
antibacterial drugs and steroids. Clinically the infection may present
with oedema, scabs, erythema and epithelial exfoliation, with symptoms
like itching and hearing loss. The diagnosis is established by the
observation of fungal forms in the direct exam (hyphae, conidia and
Aspergillus heads), and with repeated cultures in special media. Topical
treatment is effective and includes cleaning of the outer auditory canal
to remove the cell debris, sebum and fungal growth. Topical antifungal
agents are useful and may be used as concomitant therapy with systemic
antibiotics to reduce relapses.
