Trichophyton rubrum in the external auditory meatus.
We report the case of a 28-year-old immunocompetent male suffering from otitis externa. The right external auditory meatus was filled with cerumen and detritus, the tympanic membrane covered wallpaper-like with layers of fungi. Mycological analysis revealed Trichophyton rubrum. With further examination tinea pedis of plantar and interdigital type and concomitant onychomycosis of the toenails due to T. rubrum could be detected. The auditory meatus was cleaned and treated topically with clotrimazole. Two weeks later the auditory meatus and the tympanic membrane were bare of fungi and the inflammation was resolved. Treatment of tinea pedis and onychomycosis with terbinafine (systemically and topically) is still lasting.
Department of Otorhinolaryngology, Head and Neck Surgery, Graz Medical University, Auenbruggerplatz, Graz, Austria. walter.buzina@uni-graz.at
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Buzina
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Lang-Loidolt
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Ginter-Hanselmayer
D000328:Adult; D000935:Antifungal Agents / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D002571:Cerumen / Q000382:microbiology; D003022:Clotrimazole / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D004424:Ear Canal / Q000382:microbiology / Q000473:pathology; D006801:Humans; D008297:Male; D009262:Nails / Q000382:microbiology; D009281:Naphthalenes / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D014009:Onychomycosis / Q000150:complications / Q000382:microbiology; D010032:Otitis Externa / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000628:therapy; D000077291:Terbinafine; D014005:Tinea / Q000188:drug therapy / Q000382:microbiology* / Q000628:therapy; D014008:Tinea Pedis / Q000150:complications / Q000382:microbiology; D014249:Trichophyton / Q000187:drug effects / Q000302:isolation & purification*; D014432:Tympanic Membrane / Q000382:microbiology / Q000473:pathology
D000935:Antifungal Agents; D009281:Naphthalenes; D003022:Clotrimazole; D000077291:Terbinafine