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Table of Contents
Vol. 65, No. 1, 2003
Issue release date: January–February 2003
Section title: Case Report
ORL 2003;65:49–51
(DOI:10.1159/000068664)

Pneumocystis carinii Infection of the Middle Ear and External Auditory Canal

Report of a Case and Review of the Literature

Menger 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

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: 7/17/2002
Accepted: 11/7/2002
Published online: 3/17/2003

Number of Print Pages: 3
Number of Figures: 2
Number of Tables: 0

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: http://www.karger.com/ORL

Abstract

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.


Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: 7/17/2002
Accepted: 11/7/2002
Published online: 3/17/2003

Number of Print Pages: 3
Number of Figures: 2
Number of Tables: 0

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: http://www.karger.com/ORL


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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Safrin S: Infectious disease; in Internal Medicine, ed 5. St Louis, Mosby, 1998, chapter 280, pp 1692–1695.
  2. Macher AM, Bardenstein DS, Zimmerman LE, et al: Pneumocystis carinii choroiditis in a male homosexual with AIDS and disseminated pulmonary and extrapulmonary P. carinii infection. N Engl J Med 1987;316:1092.
  3. Schinella RA, Breda SD, Hammerschlag PE: Otic infection due to Pneumocytosis carinii in an apparently healthy man with antibody to the human immunodeficiency virus. Ann Intern Med 1987;106:399–400.
  4. Gherman CR, Ward RR, Bassis ML: Pneumocystis carinii otitis media and mastoiditis as the initial manifestation of the acquired immunodeficiency syndrome. Am J Med 1988;85:250–252.
  5. Praveen CV, Terry RM, Elmahallawy M, Horsfield C: Pneumocystis carinii infection in bilateral aural polyps in a human immunodeficiency virus-positive patient. J Laryngol Otol 2002;116:288–290.
  6. Coulman CU, Greene I, Archibald RWR: Cutaneous pneumocystosis. Ann Intern Med 1987;106:396–398.
  7. Breda SD, Gigliotti F, Hammerschlag PE, Schinella R: Pneumocystis carinii in the temporal bone as a primary manifestation of the acquired immunodeficiency syndrome. Ann Otol Rhinol Laryngol 1988;97:427–431.
  8. Patel SK, Philpott JM, McPartlin DW: An unusual case of pneumocystis carinii presenting as an aural mass. J Laryngol Otol 1999;113:555–557.
  9. Park S, Wunderlich H, Goldenberg RA, Marshall M: Pneumocystis carinii infection in the middle ear. Arch Otolaryngol Head Neck Surg 1992;118:269–270.