A Rare Case of Scedosporium Otitis in an Immunocompetent Child with Tympanostomy Tubes

Koay, Wei Li Adeline; Johnson, Chelsea; Patel, Janak A.; Aigbivbalu, Lemuel

doi:10.1097/inf.0000000000000651

Cited by 6 publications

(3 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At the case report level, it has been noted to cause otomycosis [15,16,17,18]. The patient in this study was HIV positive, although had no recent labs available for review, and had had a protracted course of CSOM treated with eight courses of various oral and topical therapies over the course of four years; this prolonged course is in keeping with the limited reports in the literature [15,16,17,18].…”

Section: Discussionsupporting

confidence: 81%

“…We found one patient with cultures growing a Scedosporium species. Scedosporium is associated with limited access to clean water, can be cultured worldwide from sewage and soil, and can cause a variety of infections in immunocompetent and immunocompromised patients [15,16]. At the case report level, it has been noted to cause otomycosis [15,16,17,18].…”

Section: Discussionmentioning

confidence: 99%

“…Scedosporium is associated with limited access to clean water, can be cultured worldwide from sewage and soil, and can cause a variety of infections in immunocompetent and immunocompromised patients [15,16]. At the case report level, it has been noted to cause otomycosis [15,16,17,18]. The patient in this study was HIV positive, although had no recent labs available for review, and had had a protracted course of CSOM treated with eight courses of various oral and topical therapies over the course of four years; this prolonged course is in keeping with the limited reports in the literature [15,16,17,18].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Role of Routine Culture in the Treatment of Chronic Suppurative Otitis Media: Implications for the Standard of Care in Rural Areas of South Africa

Toman

Moll²,

Barnes

et al. 2019

TropicalMed

View full text Add to dashboard Cite

Chronic Suppurative Otitis Media (CSOM) is a widely prevalent disease, which is a leading cause of acquired deafness worldwide, and is associated with complications with significant mortality and morbidity. It often responds poorly to standard of care therapy and places a disproportionate burden on at-risk populations. The microbiology and antibiotic resistance of CSOM varies based on local factors, including health care access, comorbidities, and antibiotic prescribing practices. We evaluated the role and feasibility of using routine culture for the treatment of CSOM in rural areas as a means of improving treatment of CSOM. More than 400 patients were screened in a rural clinic in South Africa over six weeks, and 14 met study criteria and consented for participation. Gram-negative organisms predominated overall, although Staphylococcus aureus was the most commonly isolated single species. A majority of the pathogens were relatively sensitive to commonly prescribed antibiotics, but two cases of methicillin resistant Staphylococcus aureus were cultured, and one patient grew a Scedosporium species. Treatment on follow-up was able to be directed by culture results, suggesting routine culture at the initial point of contact with the health care system may play a pivotal role in addressing this widely prevalent and devastating disease.

show abstract