Bahawaluddin Jamro, Pirbux Magsi, Hamid Ali Sangi.
Otomycosis: clinical features and treatment outcome.
Rawal Med J Jan ;37(2):191-3.

Objective: To determine the clinical presentation and treatment outcomes of Otomycosis. Patients and Methods: This was a prospective descriptive study was carried out at Departments of ENT and Pediatrics of Ghulam Muhammed Mahar Medical College Hospitals, Sukkur, Pakistan from March 2007 to March 2010. 100 cases of Otomycosis who were 5-50 years of ages, from OPDs of both ENT and Pediatric departments were included in the study. After obtaining written informed consent from patients/ parents, detailed medical histories were taken including the previous drugs, risk factors, clinical examination and culture done in 26 patients only. After proper suction, clearance of fungal discharge, along with topical application of Clotrimazole was carried out and minimum follow up of 6 weeks were carried out. Results: Out of 100 cases 60 were females and majority were in the age group of 20-40 years. The unilateral ear presentation was in 90 % of cases. Ear pain was the most common symptom (60%), itching in 50%, followed by aural fullness in 44% of cases and otorrhea in 26% of cases. The culture showed aspergillus niger species in 50% and candida species in 11%. 96% of patients were cured but in 20% disease recurrence was noted. Conclusion: Otomycosis was more common in females than males and pain and itching were most common presentation. It could be diagnosed by clinical examination, and resolved with appropriate topical antifungal agents. (Rawal Med J 2012;37:191-193).

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