alexa External Ear Canal Folliculitis: A Frequently Under-Diagnosed Infectious Disease | OMICS International | Abstract
ISSN: 2327-4972

Family Medicine & Medical Science Research
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Research Article

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

Alexander Kiderman*, Tzipi Sabag and Reuven Dressler
Department of Family Medicine Hadassah and Hebrew University School of Medicine, Clalit Health Services, Jerusalem, Israel
Corresponding Author : Alexander Kiderman
Department of Family Medicine
Hadassah and Hebrew University
School of Medicine, Clalit Health
Services, Jerusalem, Israel
Tel: 972528238592
Email: [email protected]
Received January 20, 2014; Accepted January 26, 2015; Published January 28, 2015
Citation: Kiderman A, Sabag T, Dressler R (2015) External Ear Canal Folliculitis: A Frequently Under-Diagnosed Infectious Disease. Fam Med Med Sci Res 4:156. doi:10.4172/2327-4972.1000156
Copyright: © 2015 Kiderman A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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.

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