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Aspergillus mastoiditis, presenting with unexplained progressive otalgia, in an immunocompetent (older) patient


van Tol, A; van Rijswijk, J B (2008). Aspergillus mastoiditis, presenting with unexplained progressive otalgia, in an immunocompetent (older) patient. European Archives of Oto-Rhino-Laryngology, 266(10):1655-1657.

Abstract

Aspergillus mastoidits and skull-base osteomyelitis are extremely rare, even in immunocompromised patients. We report a case of an 81-year-old immunocompetent man, who underwent a mastoidectomy because of unexplained, progressive otalgia in spite of a noninflamed and air-containing middle-ear space. Histopathology yielded Aspergillus fumigatus. When confronted with otitis with an unexpected clinical course a high index of suspicion is required to facilitate early diagnosis and appropriate therapy of a potential lethal Aspergillus infection, even in immunocompetent patients. This seems to be more so in older patients with an open middle-ear cavity and/or when there is facial nerve involvement.

Abstract

Aspergillus mastoidits and skull-base osteomyelitis are extremely rare, even in immunocompromised patients. We report a case of an 81-year-old immunocompetent man, who underwent a mastoidectomy because of unexplained, progressive otalgia in spite of a noninflamed and air-containing middle-ear space. Histopathology yielded Aspergillus fumigatus. When confronted with otitis with an unexpected clinical course a high index of suspicion is required to facilitate early diagnosis and appropriate therapy of a potential lethal Aspergillus infection, even in immunocompetent patients. This seems to be more so in older patients with an open middle-ear cavity and/or when there is facial nerve involvement.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Otorhinolaryngology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:4 December 2008
Deposited On:10 Dec 2008 11:35
Last Modified:18 Feb 2018 10:02
Publisher:Springer
ISSN:0937-4477
Additional Information:The original publication is available at www.springerlink.com
OA Status:Closed
Free access at:Official URL. An embargo period may apply.
Publisher DOI:https://doi.org/10.1007/s00405-008-0877-4
Official URL:http://www.springerlink.com/content/470252622ljm181q/fulltext.pdf
PubMed ID:19052763

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