INFECTIOUS DISEASES OF
       THE EARS



           MAJID MOHIUDDIN
INFECTIOUS DISEASES OF THE
           EARS
• Three pathways for pathogens to enter:
     1. Through eustachian (auditory) tube,
  from the throat and nasopharynx.
     2. From external ear.
     3. Through the blood or lymph.
• OTITIS MEDIA: Infection of middle ear.
• OTITIS EXTERNA: Infection of the outer ear
  canal.
VIRAL AND BACTERIAL
 INFECTIONS OF EAR
OTITIS EXTERNA, EXTERNAL OTITIS, EAR
    CANAL INFECTION, SWIMMER’S EAR


• Infection with itching, pain, malodorous
  discharge, tenderness, redness, swelling and
  impaired hearing.
• Otitis externa is often referred to as swimmer’s
  ear.
Etiologic Agent

• Escherichia coli, Pseudomonas aeruginosa,
  Proteus vulgaris, Staphylococcus aureus;
  rarely by fungus –e.g., Aspergillus.
 Reservoirs and Mode of Transmission

• Contaminated swimming pool water,
  indigenous microflora, articles.
      Diagnosis

• Culture and Susceptibility.
OTITIS MEDIA, MIDDLE EAR
              INFECTION:
• Develop as Complication of the common cold.
• Persistent and severe earache.
• Temporary hearing loss.
• Pressure in middle ear.
• Bulging of the eardrum (Tympanic membrane),
• Nausea, vomiting, diarrhea and fever in young children.
• May lead to rupture of the eardrum, bloody discharge
  and then pus.
• Severe complications: bone infection, permanent
  hearing loss, and meningitis.
Etiologic Agent

• Bacteria: Streptococcus pneumonia (G+ve diplococcus),
  Haemophillus influenzae (G-ve bacillus) and Moraxella
  catarrhalis (G-ve diplococcus) also Streptococcus pyogenes
  and Staphylococcus aureus.
• Virus: Measles virus, parainfluenza virus and respiratory
  syncytial virus (RSV)
  Reservoirs and Mode of Transmission
• Not Communicable
     Diagnosis


• Culture and Sensitivity.
• Beta lactamase testing for H.influenzae and S.pneumonia.
The End

Infectious diseases of the ears

  • 1.
    INFECTIOUS DISEASES OF THE EARS MAJID MOHIUDDIN
  • 2.
    INFECTIOUS DISEASES OFTHE EARS • Three pathways for pathogens to enter: 1. Through eustachian (auditory) tube, from the throat and nasopharynx. 2. From external ear. 3. Through the blood or lymph. • OTITIS MEDIA: Infection of middle ear. • OTITIS EXTERNA: Infection of the outer ear canal.
  • 3.
    VIRAL AND BACTERIAL INFECTIONS OF EAR
  • 4.
    OTITIS EXTERNA, EXTERNALOTITIS, EAR CANAL INFECTION, SWIMMER’S EAR • Infection with itching, pain, malodorous discharge, tenderness, redness, swelling and impaired hearing. • Otitis externa is often referred to as swimmer’s ear.
  • 5.
    Etiologic Agent • Escherichiacoli, Pseudomonas aeruginosa, Proteus vulgaris, Staphylococcus aureus; rarely by fungus –e.g., Aspergillus. Reservoirs and Mode of Transmission • Contaminated swimming pool water, indigenous microflora, articles. Diagnosis • Culture and Susceptibility.
  • 6.
    OTITIS MEDIA, MIDDLEEAR INFECTION: • Develop as Complication of the common cold. • Persistent and severe earache. • Temporary hearing loss. • Pressure in middle ear. • Bulging of the eardrum (Tympanic membrane), • Nausea, vomiting, diarrhea and fever in young children. • May lead to rupture of the eardrum, bloody discharge and then pus. • Severe complications: bone infection, permanent hearing loss, and meningitis.
  • 7.
    Etiologic Agent • Bacteria:Streptococcus pneumonia (G+ve diplococcus), Haemophillus influenzae (G-ve bacillus) and Moraxella catarrhalis (G-ve diplococcus) also Streptococcus pyogenes and Staphylococcus aureus. • Virus: Measles virus, parainfluenza virus and respiratory syncytial virus (RSV) Reservoirs and Mode of Transmission • Not Communicable Diagnosis • Culture and Sensitivity. • Beta lactamase testing for H.influenzae and S.pneumonia.
  • 8.