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Otomycosis in Jos: Predisposing factors and Management
1Department of Ear Nose Throat Head & Neck Surgery, University of Jos & Jos University Teaching Hospital, Plateau State.
Background:
Otomycosis is a challenging and frustrating common Otologic condition to both patients and managing clinician. This fungal infection most often involves the squamous epithelium of the external auditory canal and is; characterized by pruritus, occasional otalgia and hypoacusis.
Objectives:
To highlight the predisposing factors and management of Otomycosis in our center.
Study Design:
Retrospective review of 35 patients with a clinical diagnosis of otomycosis treated from January 2012 to March 2013.
Setting:
The study was carried out at the Jos University Teaching Hospital, in the outpatient clinic of the department of Ear Nose Throat & Head.
Participants:
Thirty-five patients diagnosed with otomycosis had their medical data analyzed for this study.
Intervention:
Antifungal eardrop was used for dressing the ears.
Result:
35 patients were seen within 15 months period (Jan. 2012- Mar. 2013). There were 11 males: 24 females given a gender ratio of 1:2.1. The commonest age group involved was 41-50(25.71%). There were 13, 10 and 6 cases of right, left and bilateral cases of Otomycosis m respectively. 16 cases were seen during the wet season and 19 cases during the dry season. In terms of occupation, house wives and civil servants constitute 28.60 and 17.15 % respectively. Diabetic mellitus was noted in1 (2.86%) patient.
Conclusion:
The predisposing conditions for Otomycosis are present in Jos environment and can usually be diagnosed by clinical examination. This study suggested that otomycosis found are predominantly unilateral, more common in older age group, in female mainly housewives, civil servants and Candida species is the most common causative organism implicated in causation of otomycosis and treated with clotimazole containing drugs. Discontinuation of antifungal agent is most appropriate in antibiotic induced otomycosis.
Insights
Otomycosis, a common ear infection, is often diagnosed clinically and more prevalent in older females, particularly housewives and civil servants. Treatment with clotrimazole-containing antifungal eardrops is effective for this fungal condition.
Area of Science:
- Otolaryngology
- Infectious Diseases
Background:
- Otomycosis is a common yet challenging otologic condition affecting the external auditory canal.
- Symptoms include pruritus, otalgia, and hypoacusis, causing frustration for patients and clinicians.
Purpose of the Study:
- To identify predisposing factors for otomycosis.
- To outline the management strategies for otomycosis in a specific clinical setting.
Main Methods:
- A retrospective review of 35 patients diagnosed with otomycosis.
- Data collected from January 2012 to March 2013 at Jos University Teaching Hospital.
- Medical data analyzed for clinical diagnosis and treatment outcomes.
Main Results:
- Otomycosis predominantly affected females (2:1 ratio) in the 41-50 age group.
- Unilateral cases were most common, with higher incidence during the dry season.
- Housewives and civil servants represented the largest occupational groups affected; diabetes mellitus was noted in one patient.
Conclusions:
- Predisposing factors for otomycosis are present in the Jos environment.
- Clinical examination is often sufficient for diagnosis.
- Candida species were the most common causative organisms, responding well to clotrimazole-based treatments.
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