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Chronic suppurative otitis media caused by Paecilomyces variotii
M K Dhindsa1, J Naidu, S M Singh
1Department of Biological Sciences, R. D. University, Jabalpur, India.
Summary
This study reports a rare case of chronic suppurative otitis media caused by Paecilomyces variotii. Topical ketoconazole effectively treated this fungal ear infection.
Area of Science:
- Otolaryngology
- Mycology
- Infectious Diseases
Background:
- Chronic suppurative otitis media (CSOM) is a persistent middle ear infection.
- Fungal infections of the ear, while less common than bacterial, can cause significant morbidity.
Observation:
- A patient with chronic cold and cough presented with otorrhoea and tympanic membrane perforation.
- Mastoid X-rays revealed a sclerotic mastoid and partial cellular obliteration.
- Histopathology confirmed the presence of Paecilomyces variotii fungal elements.
Findings:
- Paecilomyces variotii was identified as the causative agent of CSOM in this case.
- The patient's infection demonstrated a positive response to topical ketoconazole treatment.
- This represents the first documented instance of CSOM attributed to P. variotii.
Implications:
- Highlights the potential for Paecilomyces variotii to cause otitis media.
- Suggests topical ketoconazole as a viable treatment option for P. variotii otitis media.
- Emphasizes the importance of considering fungal etiologies in refractory CSOM cases.