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Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis
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7 2023
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Source: Emerg Infect Dis. 2023; 29(7):1297-1301
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Alternative Title:Emerg Infect Dis
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Description:Coccidioidomycosis involving the ear, mastoid bone, or both is uncommon. We describe 5 new cases from the United States and review 4 cases reported in the literature of otomycosis and mastoiditis caused by Coccidioides. Of the 9 cases, 8 were linked to residence in or travel to California. Two patients had poorly controlled diabetes mellitus, 7 had otomastoiditis, 1 had otitis externa without mastoid involvement, and 1 had mastoiditis without otic involvement. Four patients had concurrent or prior pulmonary coccidioidomycosis. Ipsilateral facial nerve palsies developed in 2 patients. All patients received antifungal treatment for varying durations, and 8 of the 9 patients underwent surgical debridement. Clinicians should consider coccidioidomycosis as a differential diagnosis for otomastoiditis in patients with geographic risks.
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Pubmed ID:37347877
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Pubmed Central ID:PMC10310367
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Volume:29
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Issue:7
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