Pneumocystis carinii Infection of the Middle Ear and External Auditory Canal
Report of a Case and Review of the LiteratureMenger D.J. · v.d. Berg R.G.
Departments of Otolaryngology and Head and Neck Surgery,aAcademic Medical Center, University of Amsterdam and bOnze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
We present a 50-year-old male with Pneumocystis carinii infection involving the middle ear and the external auditory canal as the first manifestation of a previously unknown HIV infection. In case of therapy-resistant otitis with a polypoid mass in the external auditory canal histological evaluation should be considered to rule out malignancy or pathogens, like Pneumocystis carinii, that cannot be cultured. Oral or intravenous antiprotozoal agents are the treatment in line with current practice. Exploration of the os petrosum is never required.
D.J. Menger, MD
Department of Otolaryngology and Head and Neck Surgery, Academic Medical Center
University of Amsterdam, Meibergdreef 9, PO Box 22700
NL–1100 DE Amsterdam (The Netherlands)
Tel. +31 20 566 3416/8586, E-Mail firstname.lastname@example.org
Received: July 17, 2002
Accepted after revision: November 7, 2002
Number of Print Pages : 3
Number of Figures : 2, Number of Tables : 0, Number of References : 9
ORL (Journal for Oto-Rhino-Laryngology and Its Related Specialties)
Founded 1938 as ‘Practica Oto-Rhino-Laryngologica’ by J. Berberich and E. Schlittler, continued by L. Rüedi 1947–1970, E. Huizinga 1948–1970, C.R. Pfaltz 1968–1984
Vol. 65, No. 1, Year 2003 (Cover Date: January-February 2003)
Journal Editor: B.W. O’Malley, Baltimore, Md.
ISSN: 0301–1569 (print), 1423–0275 (Online)
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