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Ascariasis and acute otitis media

J J Fagan1, C A Prescott

  • 1Department of Otolaryngology, University of Cape Town, South Africa.

International Journal of Pediatric Otorhinolaryngology
|February 1, 1993
PubMed
Summary
This summary is machine-generated.

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Ascaris lumbricoides rarely causes middle ear infections. This case report details an infant who expelled a roundworm from their ear, resolving acute suppurative otitis media.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Parasitology

Background:

  • Middle ear disease, specifically acute suppurative otitis media, is common in infants.
  • Ascariasis, caused by Ascaris lumbricoides, typically affects the gastrointestinal tract.
  • Parasitic involvement in otological conditions is exceptionally rare.

Observation:

  • An infant presented with acute suppurative otitis media despite antibiotic treatment for an upper respiratory tract infection.
  • The infant spontaneously extruded an Ascaris lumbricoides (roundworm) from the affected ear.
  • Resolution of otitis media symptoms followed the expulsion of the parasite.

Findings:

  • This case suggests Ascaris lumbricoides can be a causative agent of otitis media in infants.

Related Experiment Videos

  • The pathophysiology may involve migration of the parasite through the eustachian tube to the middle ear.
  • Successful treatment was achieved via spontaneous parasite extrusion.

    • Implications:

    • Highlights the importance of considering parasitic infections in refractory or unusual cases of otitis media.
    • Suggests a potential route of parasitic invasion from the nasopharynx to the middle ear.
    • Underscores the need for broader differential diagnoses in pediatric ear infections.