Successful treatment of a recurrent Aspergillus niger otomycosis with local application of voriconazole - 13/06/18
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Abstract |
Fungal otitis (otomycosis) is a common infection encountered by otolaryngologists. Nevertheless, its management can be challenging because of its high recurrence rate and of the limited therapeutic options. A 45-year-old woman suffered from recurrent otomycosis. The ineffectiveness of successive antibiotic cures and repeated topical treatments with nystatin and then with econazole cream led to perform microbiological analyses. Culture of ear swab grew Aspergillus niger. The use of a 1% voriconazole sterile solution previously validated for treatment of eye infections was considered after ensuring the absence of known ototoxic effects of the antifungal and of the excipients. The patient was advised to apply locally this voriconazole solution daily for 14 days (3 drops, 3–4 times a day). Full recovery was obtained at the end of the treatment, and no relevant side effects were noticed. More than one year after completion of therapy, there was no recurrence. Our observation shows that voriconazole 1% solution is an interesting option for treating otomycosis which failed to respond to usual therapeutic options. Further prospective studies are now warranted to confirm these findings.
Le texte complet de cet article est disponible en PDF.Keywords : Aspergillus niger, Otomycosis, Otitis externa, Voriconazole, Nystatin
Plan
Vol 28 - N° 2
P. 396-398 - juin 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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