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September 1978, Vol 138, No. 9 >

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ARTICLE | September 1978

Otomycosis Due to Coccidioidomycosis

Robert P. Harvey, MD; Demosthenes Pappagianis, MD, PhD; Jack Cochran, MD; David A. Stevens, MD
Arch Intern Med. 1978;138(9):1434-1435. doi:10.1001/archinte.1978.03630340100037.
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The course and treatment of two patients with otomycosis due to Coccidioides immitis, believed to be the first such cases reported, are described. Both infections appeared due to reactivation of hematogenously disseminated foci. Local and systemic chemotherapy plus surgery resulted in remission, and host immune response also appears to be an important factor. One patient, with systemic lupus erythematosus, required more extensive surgery, more chemotherapy, and reduction in steroid dose to arrest the disease. A combined surgical and chemotherapeutic approach appears necessary when otomycosis is due to invasive fungi such as C immitis.

(Arch Intern Med 138:1434-1435, 1978)

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