Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Schwartz, Ilan S. ; Marek, Caitlyn ; Sandhu, Harleen ; Abdelmonem, Ahmed ; Petersen, Greti ; Dishner, Emma ; Heidari, Arash ; Thompson, George R.
• 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.
• Subjects:
  Antifungal Agents Coccidioides Coccidioidomycosis Humans Mastoiditis Otitis Externa
• Source:
  Emerg Infect Dis. 2023; 29(7):1297-1301
• Pubmed ID:
  37347877
• Pubmed Central ID:
  PMC10310367
• Document Type:
  Journal Article
• Place as Subject:
  Canada ; United States
• Volume:
  29
• Issue:
  7
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:a7dc2767adfab8a34143b6d4364a5bd8c6a4de6933e4e4a13a7db89f552cde43
• Download URL:
  https://stacks.cdc.gov/view/cdc/130817/cdc_130817_DS1.pdf
• File Type:
  [PDF - 966.42 KB ]