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Analysis of various fungal agents in clinically suspected cases of otomycosis

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INTRODUCTION: Otomycosis is a fungal infection of external ear with troublesome symptoms like ottorhea, otalgia, pruritis etc. Fungal agents responsible for this clinical entity are commonly found to be saprobe in environment which makes infection to occur frequently in humid climate. So early diagnosis & its treatment is necessary to prevent complication & unnecessary use of antibiotics. Present work was planned to determine fungal agents involved in otomycosis & their Correlation with clinical presentation & various predisposing factors associated with such cases. METHOS: From July to October 2012, 50 samples of clinically suspected cases of otomycosis were taken, followed by their detail clinical history & examination at ENT Department. All samples were examined for any fungal infection by means of KOH preparation & fungus culture. RESULTS: Aspergillus niger(56.52%) & Candida tropicalis (21.73%) were found to be most common agents. Females were commonly affected (56.52%), with most common age group involving between 51-60 yrs old (47.82%).Most common symptom was ottorhea followed by pruritis & otalgia. Self injury or scratching in external auditory canal & chronic use of long term antibiotics were noted as major predisposing factor. Bacterial co infection was found in 6 patients(26.08%). CONCLUSION: Aspergillus niger was common pathogen but role of candida in causation of otomycosis is also not negligible in our study area. Annoying symptoms due to this infection points towards its early microbiological confirmation, diagnosis & management.
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