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Tympanic membrane perforation secondary to Aspergillus niger otomycosis

Abdelrhman Abo-Zed1, Tung Phan2

  • 1Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Idcases
|September 23, 2020
PubMed

Insights

A rare case of Aspergillus niger otomycosis caused a central tympanic membrane perforation. Surgical tympanoplasty successfully treated the fungal infection and improved the patient's condition.

Area of Science:

  • Mycology
  • Otolaryngology
  • Infectious Diseases

Background:

  • Aspergillus niger is a common filamentous fungus.
  • Aspergillosis encompasses diverse clinical presentations, leading to significant global health burdens.
  • Otomycosis, a fungal infection of the ear canal, can have varied clinical manifestations.

Observation:

  • This report details an uncommon instance of left central tympanic membrane perforation.
  • The perforation was directly attributed to Aspergillus niger otomycosis.
  • The affected individual presented with symptoms indicative of a fungal ear infection.

Findings:

  • The patient's tympanic membrane perforation was diagnosed as secondary to Aspergillus niger infection.
  • Microscopic examination and/or fungal culture confirmed the presence of Aspergillus niger.
  • The perforation was specifically located centrally within the tympanic membrane.

Implications:

  • This case highlights Aspergillus niger as a potential cause of tympanic membrane perforation.
  • Early diagnosis and appropriate treatment, such as tympanoplasty, are crucial for managing otomycosis-induced perforations.
  • Further research into the pathogenesis and management of rare otomycosis complications is warranted.
Keywords:
Aspergillus nigerOtomycosisTympanic membrane perforationTympanoplasty

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