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September 1988

Atypical Invasive External Otitis From Aspergillus

Author Affiliations

From the General Medicine Unit (Dr Bickley) and the Infectious Disease Unit (Dr Betts), Department of Medicine, and the Division of Otolaryngology, Department of Surgery (Dr Parkins), University of Rochester (NY) School of Medicine and Dentistry.

Arch Otolaryngol Head Neck Surg. 1988;114(9):1024-1028. doi:10.1001/archotol.1988.01860210090023

• We report a rare case of invasive external otitis caused by aspergillosis in an elderly nondiabetic patient. Amphotericin B therapy was curative. Atypical features of the presentation delayed diagnosis. Early use of tissue biopsy and culture to guide prompt initiation of therapy is recommended. The clinical spectrum and microbiology of invasive aspergillosis are also reviewed.

(Arch Otolaryngol Head Neck Surg 1988;114:1024-1028)