American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 28, Issue 4 , Pages 254-256, July 2007

Scedosporium apiospermum otomycosis

  • Brian J. Baumgartner, MD

      Affiliations

    • Department of Otolaryngology—Head and Neck Surgery, Madigan Army Medical Center, Tacoma, WA, USA
    • Corresponding Author InformationCorresponding author. Department of Otolaryngology—Head and Neck Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA. Tel.: +1 253 968 1430; fax: +1 253 968 1354.
    • ,
  • Robert M. Rakita, MD

      Affiliations

    • Virginia Mason Medical Center, Section of Infectious Disease, Seattle, WA, USA
    • Tel.: +1 206 341 0846; fax: +1 206 223 6814.
    • ,
  • Douglas D. Backous, MD

      Affiliations

    • Otology, Neurotology and Skull Base Surgery, Virginia Mason Medical Center, Section of Otolaryngology—Head and Neck Surgery, Seattle, WA, USA
    • Tel.: +1 206 341 0844; fax: +1 206 625 7275.

Received 27 July 2006

Abstract 

We present a case of Scedosporium apiospermum otomycosis in an immunocompetent 62-year-old woman presumably inoculated as a child in Vietnam. She had life-long recurrent symptoms of chronic otomastoiditis and otorrhea. The organism was identified in an unexpected wound infection after a modified radical mastoidectomy done for chronic otitis media. Treatment consisted of local debridement of necrotic tissue, topical wound care, and long-term systemic antifungals.

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PII: S0196-0709(06)00207-9

doi:10.1016/j.amjoto.2006.08.017

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 28, Issue 4 , Pages 254-256, July 2007

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