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Pneumocystis carinii Infection of the Middle Ear and External Auditory Canal

Report of a Case and Review of the Literature

Menger D.J.a · v.d. Berg R.G.b
Departments of Otolaryngology and Head and Neck Surgery,aAcademic Medical Center, University of Amsterdam and bOnze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands ORL 2003;65:49–51 (DOI:10.1159/000068664)


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.


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