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[2] [3] The most common cause of otitis externa is bacterial. Risk factors for acute cases include swimming, minor trauma from cleaning, using hearing aids and ear plugs, and other skin problems, such as psoriasis and dermatitis. [2] [3] People with diabetes are at risk of a severe form of malignant otitis externa. [2]
One red flag is the presence of one or multiple risk factors including smoking, heavy alcohol use (greater than 3.5 drinks per day), diabetes, coronary artery disease, and older age (greater than 50). [3] These factors increase the risk of having a serious cause of ear pain, like cancer or a serious infection.
The most common aetiology of acute otitis externa is bacterial infection, [5] while chronic cases are often associated with underlying skin diseases such as eczema or psoriasis. [6] A third form, malignant otitis externa, or necrotising otitis externa, is a potentially life-threatening, invasive infection of the external auditory canal and ...
The aetiology for tympanosclerosis is not extensively understood. There are several probable factors which could result in the condition appearing, including: Long term otitis media (or 'glue ear') [2] Insertion of a tympanostomy tube. [4] [5] [6] If aspiration is performed as part of the insertion, the risk of tympanosclerosis occurring ...
Poulter, Melinda D., and Claudia J. Hinnebusch. "Turicella otitidis in a young adult with otitis externa." Infectious Diseases in Clinical Practice 13.1 (2005): 31–32. Gomez-Garces JL, Alhambra A, Alos JI, Barrera B, García G (2004). "Acute and chronic otitis media and Turicella otitidis: a controversial association". Clin Microbiol Infect.
Otomycosis does not usually cause as much canal skin edema as does acute bacterial external otitis.While a severe pressure type of pain is a prominent feature of advanced cases, the ear is usually much less tender, if at all, to traction or tragal pressure.
CT scan: Otitis media (simple arrow) and mastoiditis (double arrow) of the right side (left side in image). The external auditory canal is partially occupied by suppuration (triple arrow). 44-year-old woman. The diagnosis of mastoiditis is clinical—based on the medical history and physical examination.
Rare in adults, possible in children [6] Very common 37.8–38.9 °C (100–102 °F)(or higher in young children), lasting 3–4 days; may have chills Malaise Sometimes Sometimes Very common Fatigue, weakness Sometimes Sometimes Very common (can last for weeks, extreme exhaustion early in course) Muscle pain: Never Slight [6] Very common (often ...