Malignant Aspergillus flavus Otitis Externa with Jugular Thrombosis

• Published in: Emerging infectious diseases Vol. 25; no. 4; pp. 830 - 832
• Main Authors: Moniot, Maxime, Montava, Marion, Ranque, Stéphane, Scemama, Ugo, Cassagne, Carole, Arthur, Varoquaux
• Format: Journal Article
• Language: English
• Published: United States U.S. National Center for Infectious Diseases 01-04-2019; Centers for Disease Control and Prevention
• Subjects: Aged; Antibacterial agents; Aspergillosis - complications; Aspergillosis - diagnosis; Aspergillosis - microbiology; Aspergillus flavus; Bacteriology; Cardiology and cardiovascular system; Care and treatment; Ciprofloxacin; Dexamethasone; Diabetes mellitus; Diabetes therapy; Diagnostic imaging; Emerging diseases; France; fungal infection; Glucocorticoids; Glycosylated hemoglobin; Hemoglobins; Human health and pathology; Humans; Hypertension; Infectious diseases; jugular thrombosis; Jugular Veins - diagnostic imaging; Jugular Veins - pathology; Life Sciences; Maduromycosis; Magnetic Resonance Imaging; Male; Malignant; malignant otitis externa; Microbiology and Parasitology; Neomycin; Otitis; Otitis externa; Otitis Externa - complications; Otitis Externa - diagnosis; Otitis Externa - microbiology; Otitis Externa with Jugular Thrombosis; Otorrhea; Parasitology; Perindopril; Research Letter; Sitagliptin; skull base osteomyelitis; Stenosis; Thrombosis; Tomography, X-Ray Computed; Venous Thrombosis - complications; Venous Thrombosis - diagnosis; Virology; France; jugular thrombosis; magnetic resonance imaging; Aspergillus flavus; voriconazole; ink smudge pattern; diagnostic imaging; ear infection; fungal infection; fungi; skull base osteomyelitis; France; malignant otitis externa; dot in circle sign
• ISSN: 1080-6040; 1080-6059
• DOI: 10.3201/eid2504.180710

We report a case of malignant otitis externa with jugular vein thrombosis caused by Aspergillus flavus. Magnetic resonance imaging revealed an unusual ink smudge pattern deep in a cervical abscess. The pattern was consistent with mycetoma and may be important for diagnosing these life-threatening infections.