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Reevaluating the Causes of Otitis Externa: A Case Report
Kelvin Yong Jie Lim1, Soon Heng Tan2
1Department of Otorhinolaryngology, Khoo Teck Puat Hospital, Singapore, SGP.
Cureus
|December 26, 2024
Summary
A domestic helper experienced ear pain and blockage due to an ear mite infestation (otoacariasis). Prompt treatment involving ear cleaning and medication led to a full recovery without recurrence.
Area of Science:
- Otolaryngology
- Medical Entomology
Background:
- Otoacariasis, an ear mite infestation, can cause symptoms like otalgia and ear blockage.
- This case highlights a presentation in a domestic helper.
Observation:
- A 28-year-old female presented with a three-week history of right otalgia and ear blockage.
- Examination revealed numerous whitish ovoid lesions and inflammation in the external auditory canal (EAC).
Findings:
- The patient was diagnosed with otoacariasis, likely caused by mites from the Acaridae or Chortoglyphidae families.
- Microscopic examination of mites was not possible, but morphology suggested these families.
Implications:
- Aural toileting and topical corticosteroid/antibiotic ear drops were effective treatments.
- The case demonstrates a successful management of otoacariasis with complete recovery.
