Otomycosis treatment in primary health care: a case report

Authors

Keywords:

Otomycosis, Fungal otitis external, Primary Health Care

Abstract

Introduction: Otomycosis, also known as fungal otitis externa, is a disease with worldwide distribution that has a high incidence in tropical and subtropical regions. Due to treatment based on pharmacotherapy and periodic cleaning of the ear canal, this pathology is fully capable of being treated in Primary Care. Objective: This report aimed to highlight the importance of Primary Care in the diagnosis and treatment of a case of otomycosis. Case presentation: A case treated as a spontaneous demand in a Family Health Unit in the city of Campo Grande – MS was described, relating the actions carried out by the health team with the tools and attributes that Primary Care uses to achieve resolution. Discussion: After two months of instituting pharmacological treatment, associated with ear washing and health guidance on self-care, a complete resolution of the case was achieved. Final considerations: Primary Care, when equipped with technical competence and with basic conduct in the attributes, is resolving in cases of people affected by otomycosis.

References

AGARWAL, P.; DEVI, L. S. Otomycosis in a Rural Community Attending a Tertiary Care Hospital: Assessment of Risk Factors and Identification of Fungal and Bacterial Agents. Journal of Clinical and Diagnostic Research, [s. l.], v. 11, n. 6, p. 14-18, 2017.

ANWAR, K.; GOHAR, M. S. Otomycosis; clinical features, predisposing factors and treatment implications. Pakistan Journal of Medical Sciences, [s. l.], v. 30, n. 3, p. 564-567, 2014.

BOJANOVIC, M. et al. Etiology, Predisposing Factors, Clinical Features and Diagnostic Procedure of Otomycosis: A Literature Review. Journal of Fungi, [s. l.], v. 9, n. 6, p.662, 2023.

GHARAGHANI, M.; SEIFI, Z.; MAHMOUDABADI, A. Z. Otomycosis in Iran: A Review. Mycopathologia, [s. l.], v. 179, n. 5-6, p. 415-424, 2015.

HERASYM, K.; BONAPARTE, J. P.; KILTY, S. A. Comparison of LocacortenVioform and Clotrimazole in Otomycosis: A Systematic Review and One-Way MetaAnalysis. The Laryngoscope, Saint Louis, US, v. 6, n. 126, p. 1411-1419, 2016.

KAZEMI, A. et al. Etiologic Agents of Otomycosis in the North-Western Area of Iran. Jundishapur Journal of Microbiology, v. 8, n. 9, p. e21776, 2015.

KIAKOJORI, K. et al. Assessment of Response to Treatment in Patients with Otomycosis. Iranian Journal of Otorhinolaryngology, [s. l.], v. 30, n. 1, p. 41-46, 2018.

MAGLIOCCA, K. R.; VIVAS, E. X.; GRIFFITH, C. C. Idiopathic, Infectious and Reactive Lesions of the Ear and Temporal Bone. Head and Neck Pathology, [s. l.], v. 3, n. 12, p. 328–349, 2018.

NEMATI, S. et al. Otomycosis in the north of Iran: common pathogens and resistance to antifungal agents. European Archives of Oto-Rhino-Laryngology, [s. l.], v. 271, n. 5, p. 953-957, 2014.

PONTES, Z. B. et al. Otomycosis: a retrospective study. Brazilian Journal of torhinolaryngology, São Paulo, v. 75, n. 3, p. 367-70, 2009.

PRASAD, S. C. et al. Primary Otomycosis in the Indian Subcontinent: Predisposing Factors, Microbiology, and Classification. International Journal of Microbiology, [s. l.], p. 636493, 2014.

SADOVSKY, R. Temperature of Saline Solution for Ear Irrigation. Am Fam Physician, [s. l.], v. 1, n. 61, p. 197-198, 2000.

SHUAI, X. et al. Identification of Microbial Community in Otomycosis by Metagenomic Next Generation Sequencing (mNGS): Potential Implication of Treatment with Terbinafine. Mycopathologia, [s. l.], v. 188, p. 995–1005, 2023.

SMIIANOV, V. A. et al. The microbiological structure of otomycosis: sensitivity profile of agents to antifungal drugs. Polski Merkuriusz Lekarski, [s. l.], v. 1, n. 51, p. 42-47, 2023.

VENNERWALD, I.; KLEMM, E. Otomycosis: Diagnosis and treatment. Clinics in Dermatology, [s. l.], v. 28, n. 2, p. 202-211, 2010.

WALSH, E. M; HANSON, M. B. Fungal Infections of the External Auditory Canal and Emerging Pathogens. Otolaryngol Clin North Am., [s. l.], v. 56, n. 5, p. 909-918, 2023.

Published

2024-04-26

How to Cite

MENEZES, O. M. N.; GOETTEMS, I. F.; AJALLA, M. E. A.; SANTOS-PINTO, C. D. B.; OLIVEIRA, E. F. de. Otomycosis treatment in primary health care: a case report. Public Health Journal of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brasil, v. 6, n. 2, p. 18–26, 2024. Disponível em: https://revista.saude.ms.gov.br/index.php/rspms/article/view/262. Acesso em: 20 may. 2024.

Issue

Section

Relatos de caso ou de experiência profissional