External Ear Canal Folliculitis: A Frequently Under-Diagnosed Infectious Disease

Alex, er Kiderman, T. Sabag, R. Dressler
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引用次数: 1

Abstract

Complaints of ear pain are very common in primary care practice. Diagnosis may be influenced by preconceived notions of prevalence that are based upon personal experience fund of medical knowledge. External ear canal folliculitis (herein EECF), is a localized skin infection of the external ear canal involving hair follicles, typically caused by Staphylococcus aureus. It is our clinical experience an underappreciated diagnosis and distinct in character from otitis external. Our research is a prospective observational prevalence trial, analyzing 90 visits of adults with earache as the presenting complaint, excluding patients that recently received antibiotics. 45.6% of included cases represented EECF. The results reveal a very simple finding: earache in adult patients derives most frequently from focal inflammation, what we call EECF. Since treatment derives from clinical diagnosis, physicians will be probably more restrained about oral antibiotics if EECF can be appropriately diagnosed.
外耳道毛囊炎:一种常被误诊的传染病
在初级保健实践中,耳痛的主诉是很常见的。诊断可能受到基于个人经验和医学知识基础的先入为主的流行观念的影响。外耳道毛囊炎(EECF)是一种涉及毛囊的外耳道局部皮肤感染,通常由金黄色葡萄球菌引起。这是我们的临床经验,一个不被重视的诊断和不同于外耳炎的特征。我们的研究是一项前瞻性观察性流行试验,分析了90例以耳痛为主诉的成人就诊,排除了最近接受抗生素治疗的患者。45.6%的病例为EECF。结果揭示了一个非常简单的发现:成年患者的耳痛最常见的原因是局灶性炎症,我们称之为EECF。由于治疗源于临床诊断,如果EECF能够得到适当的诊断,医生对口服抗生素的使用可能会更加克制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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