Acute Otitis Externa

Otitis externa is an acute infection of the ear canal, which is typically caused by bacteria (most commonly Pseudomonas). Symptoms include pain, discharge and hearing loss when the ear canal is swollen shut. Any manipulation on the external ear causing pain. The diagnosis is based on the ears inspection. Otitis externa is treated with debridement and topical (with antibiotics, corticosteroids, and acetic acid, or a combination).

Otitis externa can be limited to a local boils or infection of the entire ear canal appear (acute diffuse otitis externa). The latter is often referred to as Schwimmerotitis; the combination of water in the ear canal and the use of cotton swabs is the most important risk factor. When as malignant otitis externa (or better than necrotizing) designated form a severe Pseudomonas osteomyelitis of the temporal bone is present, are commonly affected elderly patients, diabetics and immunocompromised patients.

Otitis externa is an acute infection of the ear canal, which is typically caused by bacteria (most commonly Pseudomonas). Symptoms include pain, discharge and hearing loss when the ear canal is swollen shut. Any manipulation on the external ear causing pain. The diagnosis is based on the ears inspection. Otitis externa is treated with debridement and topical (with antibiotics, corticosteroids, and acetic acid, or a combination). Otitis externa can be limited to a local boils or infection of the entire ear canal appear (acute diffuse otitis externa). The latter is often referred to as Schwimmerotitis; the combination of water in the ear canal and the use of cotton swabs is the most important risk factor. When as malignant otitis externa (or better than necrotizing) designated form a severe Pseudomonas osteomyelitis of the temporal bone is present, are commonly affected elderly patients, diabetics and immunocompromised patients. Etiology Acute diffuse otitis externa is usually caused by bacteria such as Pseudomonas aeruginosa, Proteus vulgaris, Staphylococcus aureus, or Escherichia coli. Less common are fungal infections – with Aspergillus niger or Candida albicans, as typical representatives – the triggers of otitis externa (Otomykose). Boils are usually caused by S. aureus (and by methicillin-resistant S. aureus in recent years). Predisposing conditions include Unintentional injury of the ear canal, which was caused by cleaning with cotton swabs or other objects allergies Psoriasis Eczema Seborrheic dermatitis Reduced Gehörgangazidität (possibly due to the repeated presence of water) irritants (eg. As hair spray, hair dye) attempts the ear canal with cotton swabs to clean, can lead and detritus and cerumen advance deeper into the transition to Mikroabrasionen the sensitive skin in the ear canal (valid as a portal of entry for bacteria). In the accumulated material be water intercepts and softens the skin, thereby a bacterial infection, the soil is prepared. Symptoms and signs Patients suffer pain and drainage. If the ear canal zuschwillt or fully purulent debris infected, a foul-smelling discharge may occur with hearing loss. Train the ear or pressure on the tragus is associated with marked tenderness. The otoscopic examination is so painful that it can hardly be carried out and shows that the red and swollen ear canal is covered with damp-purulent detritus. A Otomykoseist more itchy than painful, in addition, the patients complain of an aural fullness. In fungal infection (for. Example Otomykose by A. niger) are usually gray black or yellow, of watteartigem material (hyphae) surrounded points (conidiophores) visible. In infections with C. albicans is no discernible fungal structures, but a thick, creamy white coating form. Boils can cause severe pain and sometimes secrete a bloody-purulent discharge. They present themselves as focal, erythematous swelling otitis externa with boils figure provided by Bechara Ghorayeb, MD var model = {thumbnailUrl. ‘/-/media/manual/professional/images/otitis_externa_with_furuncle_high_arrow_de.jpg?la=de&thn=0&mw = 350 ‘, imageUrl:’ /-/media/manual/professional/images/otitis_externa_with_furuncle_high_arrow_de.jpg?la=de&thn=0 ‘, title:’ otitis externa with boils ‘, description:’ u003Ca id = “v37893907 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDer ear in otitis externa is red and swollen and may with purulent Detr itus be littered. As can be seen in this picture

Health Life Media Team

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