000 02485cam a2200193 4500
001 NMDX6603
008 120401t2011 xxu||||| |||| 00| 0 eng d
100 _aHalsey, C
240 _aMycoses
245 _aNecrotising external otitis caused by Aspergillus wentii: a case report
260 _c2011
500 _aNMUH Staff Publications
500 _a54
520 _a<span style="font-family: 'Times New Roman'; font-size: 8pt;"><span class="highlight" style="line-height: 17.999801635742188px;">Necrotising</span><span style="line-height: 17.999801635742188px;"> </span><span class="highlight" style="line-height: 17.999801635742188px;">external</span><span style="line-height: 17.999801635742188px;"> </span><span class="highlight" style="line-height: 17.999801635742188px;">otitis</span><span style="line-height: 17.999801635742188px;"> (NEO) is a destructive, potentially fatal, infection usually seen in elderly diabetics or the immunocompromised. The commonest causative organism is Pseudomonas but immunocompromised patients are additionally susceptible to opportunistic infections. Here we describe the first reported </span><span class="highlight" style="line-height: 17.999801635742188px;">case</span><span style="line-height: 17.999801635742188px;"> of NEO </span><span class="highlight" style="line-height: 17.999801635742188px;">caused</span><span style="line-height: 17.999801635742188px;"> by a previously unknown human pathogen--</span><span class="highlight" style="line-height: 17.999801635742188px;">Aspergillus</span><span style="line-height: 17.999801635742188px;"> </span><span class="highlight" style="line-height: 17.999801635742188px;">wentii</span><span style="line-height: 17.999801635742188px;">. A review of the literature reveals that fungal NEO is associated with a high rate of cranial nerve palsies suggesting that infections are not being treated rapidly enough to prevent morbidity. Fungal infection should be considered early in immunocompromised patients and microbiological diagnosis should be obtained wherever possible.</span></span>
700 _aLumley, H.
700 _aLuckit, J.
856 _uwww.ncbi.nlm.nih.gov/pubmed/20059696
856 _uhttp://ferriman.wufoo.com/forms/r7x3a7/
999 _c75767
_d75767