Corneal Infiltrate & Free-Living Ameba Infection & Otalgia: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Corneal Infiltrate, Free-Living Ameba Infection, Otalgia,

Negated

None

Unsure

None

Possible Causes

Acanthamoeba Keratitis

Epidemiology of free-living ameba infections. J Protozool 1990;37(4):25S-33S. van Flink F et al. [webeye.ophth.uiowa.edu]

It typically presents as a unilateral central or paracentral corneal infiltrate, often with a ring-shaped peripheral infiltrate. [ncbi.nlm.nih.gov]

This infection is caused by a microscopic, free-living ameba (single-celled living organism) called Acanthamoeba. [cdc.gov]

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Scedosporium Infection

He had a 4 x 4 mm central corneal infiltrate with satellite lesions and a 4 mm hypopyon ( Figure 1a ). [omicsonline.org]

infiltrate. [ijo.in]

The right eye showing corneal opacity and conjunctival congestion with right infiltration lesion around (red arrowhead). [journals.sagepub.com]

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Herpes Zoster

Involvement of facial nerve leads to otalgia, lower motor neuron homolateral facial paralysis, and vesicular eruptions in auricle. [ncbi.nlm.nih.gov]

Corneal neovascularization and lipid infiltrates may occur in patients with uncontrolled chronic disease. [web.archive.org]

Punctate and dendritic lesions can lead to anterior stromal corneal infiltrates. 11, 12 View/Print Figure FIGURE 2. [aafp.org]

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Keratitis

Source : AAO Acanthamoeba keratitis Causes This infection is caused by a microscopic, free-living ameba (single-celled living organism) called Acanthamoeba. [provisu.ch]

Adenoviral conjunctivitis may lead to subepithelial corneal infiltrates as a late complication. [ncbi.nlm.nih.gov]

He had undergone a corneal tear repair on that eye 15 days prior to the onset of keratitis. The infiltrations were along the sutured corneal tear tracts. [ncbi.nlm.nih.gov]

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Granulomatosis with Polyangiitis

We present an interesting case of a 14-year-old female with eight-weeks of bilateral otalgia, unilateral facial nerve palsy, decreased appetite, and fatigue refractory to [ncbi.nlm.nih.gov]

[…] ulceration skin lesions at high risk of DVT EXAMINATION pleural effusions pulmonary infiltrates skin vasculitis lesions INVESTIGATIONS leucocytosis thrombocytosis elevated [lifeinthefastlane.com]

[…] glucocorticoids can lead to remission at 6 months in 90% of patients Presentation Symptom/physical exam upper respiratory symptoms sinusitis (most common) recurrent otitis media otalgia [medbullets.com]

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Common Cold

Sleep quality is thought to be an important predictor of immunity and, in turn, susceptibility to the common cold. This article examines whether sleep duration and efficiency in the weeks preceding viral exposure are associated with cold susceptibility. A total of 153 healthy men and women (age range, 21-55 years)[…] [ncbi.nlm.nih.gov]

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Upper Respiratory Infection

Symptoms included sore throat, laryngitis, cough, influenza, bronchitis, pneumonia, otalgia, and sinusitis. [ncbi.nlm.nih.gov]

After AOM is diagnosed, judicious antibiotic use can be enhanced by further categorizing patients on the basis of illness severity (severe otalgia, otalgia lasting 48 hours [pediatrics.aappublications.org]

The signs include bulging with or without erythema of the tympanic membrane (TM), and the symptoms may include otalgia, irritability, otorrhea, and fever. [pediatrics.aappublications.org]

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Bullous Myringitis

Bullous myringitis is manifested by moderately severe otalgia associated with vesicles on the tympanic membrane and medial external auditory canal wall. [ncbi.nlm.nih.gov]

On examination, she has severe opaque corneal infiltrate with pus exudation. The most likely cause is? A. Staphylococcus aureus B. Streptococcus Viridans C. [proprofs.com]

Myringitis and tissue stretching typically cause severe, throbbing otalgia. As has been indicated above, BM is often associated with otitis media. [symptoma.com]

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Impacted Cerumen

Otalgia and pruritus may be noted. Tinnitus has also been associated with IC. [symptoma.com]

May 15, 2007 (3) Earwax: What you should know.American Academy of Family Physicians, 2007 Links: syringing (to remove ear wax ) hearing loss (conductive) tinnitus otalgia [gpnotebook.com]

If the patient’s ear wax is cleared, ensure that the symptoms (tinnitus, hearing loss, or otalgia) are resolved. If not, think of another diagnosis. Roland PS, et al. [hippoed.com]

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Interstitial Keratitis

In the past month she also developed vertigo, nausea, otalgia, diminished appetite, as well as progressively worsening vision. [webeye.ophth.uiowa.edu]

This is the first case of corneal inflammatory infiltration in a patient with mastocytosis. [ncbi.nlm.nih.gov]

infiltrate, Immune Ring of Wessely Parenchymatous Keratitis Pseudomonas aeruginosa Keratitis with Corneal Perforation after Daily Wear Lens (Colour Image) Viral Keratitis [atlasophthalmology.net]

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Tonsillitis

Abstract Lingual tonsillitis can cause various signs and symptoms including nocturnal or supine cough, constant discomfort in the throat, glossal pain, and otalgia. [ncbi.nlm.nih.gov]

Dysphagia Anorexia Pyrexia Malaise Swollen tonsils with or without exudate 'Thick' or 'hot potato' voice (not hoarse voice) Lymphadenopathy (especially Level II/III ) Referred otalgia [entsho.com]

Symptoms of Tonsillitis Include 1 Throbbing headache with otalgia brought about by the infected tonsils and swollen lymph nodes. 2 The foul odor can be largely attributed [visihow.com]

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Sinusitis

Minor factors (diagnostically significant only with one or more major factors) include a headache, halitosis, fatigue, malaise, dental pain, cough, and otalgia. [ncbi.nlm.nih.gov]

[…] saline spray versus no treatment Not declared Not declared 36% Only 60% compliance for most Tomooka 2000 211 Hypertonic irrigation 24% Nasal irritation, nasal discomfort, otalgia [doi.org]

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Pharyngitis

Six clinical symptom scores, such as the severity of itchy throat, hoarseness, pain, odynophagia, cough and otalgia were evaluated in chronic pharyngitis patients after the [ncbi.nlm.nih.gov]

dysphagia sore throat, fever, otalgia, dysphagia • Physical ExamPhysical Exam whitish plaques, enlarged/tender whitish plaques, enlarged/tender cervical adenopathycervical [de.slideshare.net]

Patients appear ill and generally present with symptoms such as fever, dysphagia, otalgia, and trismus (difficulty or inability to open the mouth). [journals.lww.com]

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Gastroesophageal Reflux Disease

Conversely, no conclusive clinical evidence supports a link between gastroesophageal reflux and other supraesophageal problems, including otalgia, recurrent otitis media, [emedicine.medscape.com]

[…] manifestations (non-cardiac chest pain, globus, asthma, chronic cough, bronchitis, bronchiectasis, recurrent pneumonia, hoarseness, "throat clearing", laryngitis, sinusitis, otalgia [scielo.br]

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Otitis Media

Severe illness is defined as moderate to severe otalgia or temperature greater than 39 C, whereas nonsevere illness is defined as mild otalgia and temperature less than 39 [emedicine.com]

Acute suppurative otitis media (ASOM) - A history of gradually increasing otalgia followed by the appearance of a discharge with some reduction in otalgia. [entsho.com]

Severe illness is defined as moderate-to-severe otalgia or temperature greater than 39 C, whereas nonsevere illness is defined as mild otalgia and temperature less than 39 [emedicine.com]

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Acute Otitis Media

The diagnosis is based on acute onset of symptoms such as otalgia and fever, middle ear inflammation such as erythema of the tympanic membrane, and middle ear effusion. [ncbi.nlm.nih.gov]

Otalgia is taken seriously by parents and pediatricians, and otalgia treatment seems to be well accepted in Turkey for providing symptomatic relief and enhancing the patients [ncbi.nlm.nih.gov]

The following pre-defined secondary outcomes were not reported: change in symptom scores for otalgia or otorrhoea, alteration in the frequency of otalgia or otorrhoea, and [ncbi.nlm.nih.gov]

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Otitis Externa

Clinical efficacy, in terms of otalgia, oedema, erythema and tenderness of the external auditory canal, was assessed before packing was applied and at follow up on the 3rd [ncbi.nlm.nih.gov]

Ramsay Hunt syndrome is a rare complication of herpes zoster in which reactivation of latent varicella zoster virus infection occurs in the geniculate ganglion, causing otalgia [ncbi.nlm.nih.gov]

Patients present with severe otalgia, otorrhoea with or without facial palsy, or rarely, facial pain as a symptomatic feature. [ncbi.nlm.nih.gov]

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Temporomandibular Joint Disorder

[…] closing Malalignment of the teeth Wearing of the teeth, flattening of the top of the teeth Grinding Hypertonicity of the pterygoids and masseter muscles Ear pain, ache (otalgia [accessphysiotherapy.mhmedical.com]

A closed Eustachian tube may be responsible for the feeling of ear fullness, otalgia and serous otitis media [ 38 ]. [bmcearnosethroatdisord.biomedcentral.com]

[…] article seeks to show some reasonable anatomical and pathophysiological connections of this muscle-skeletal disorder expressed with symptoms like tinnitus, otic fullness, otalgia [ncbi.nlm.nih.gov]

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Acute Otitis Externa

Clinical efficacy, in terms of otalgia, oedema, erythema and tenderness of the external auditory canal, was assessed before packing was applied and at follow up on the 3rd [ncbi.nlm.nih.gov]

Acute otitis externa presents with the rapid onset of ear canal inflammation, resulting in otalgia, itching, canal edema, canal erythema, and otorrhea, and often occurs following [ncbi.nlm.nih.gov]

The most common symptoms related to AOE described by patients are otalgia and otorrhea. Complaints of otalgia can range from mild pruritus to severe discomfort. [contemporaryclinic.pharmacytimes.com]

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Streptococcal Infection

We report the case of a young man who presented with a severe acute akinetic-rigid disorder 2 weeks after complete recovery from an episode of pharyngitis. Magnetic resonance imaging scan abnormalities strikingly localized to the basal ganglia were accompanied by serological evidence of recent streptococcal[…] [ncbi.nlm.nih.gov]

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Acute Sinusitis

A case of balloon frontal sinuplasty in a 12-year old male with intracranial abscess from acute sinusitis is presented. The patient experienced photophobia, fever, headache, nausea and vomiting. Frontal sinusitis with intracranial abscess was diagnosed on imaging. The patient was taken to the operating room for[…] [ncbi.nlm.nih.gov]

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Pharyngoconjunctival Fever

Adenovirus 3 detected F, 9y 17 Sore throat, fever, rhinorrhoea, otalgia, headache, nausea, vomiting, anorexia, back pain, muscle and joint pain - - Not done M2, 12y 17 Itchy [health.gov.au]

Corneal infiltrates are rare. The disorder varies in severity but usually persists for four days to two weeks. [medicalstudy.blogspot.com]

Topical steroids dramatically suppress conjunctival inflammatory signs, relieve symptoms, and are associated with resolution of the corneal subepithelial infiltrates. [emedicine.medscape.com]

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Bruxism

[…] tenderness over mastoid process Otitis externa Pruritus, pain, and tenderness of the external ear Erythema and edema of external auditory canal Otitis media Fever; malaise; otalgia [aafp.org]

[…] restricted mouth opening).[10] Pain or tenderness of the temporomandibular joints,[10] which may manifest as preauricular pain (in front of the ear), or pain referred to the ear (otalgia [en.wikipedia.org]

[…] inflammation Herpes zoster and postherpetic neuralgia Prodrome of pain followed by vesicular rash Vesicular rash in dermatomal distribution, not crossing midline Mastoiditis Fever; otalgia [aafp.org]

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Ménière Disease

To contribute to the understanding of hearing fluctuation in Ménière's disease (MD) by disseminating a case study of a cochlear implanted ear with ongoing fluctuation of electrode impedances with episodic tinnitus and no associated vestibular symptoms. Retrospective case review. Tertiary referral audiology clinic.[…] [ncbi.nlm.nih.gov]

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Chronic Otitis Externa

Symptoms of otitis externa can include: Pain in the ear (otalgia) Fullness of the ear Itchy ear Temporary hearing loss Drainage from the ear (otorrhea) Facial swelling and [everydayhearing.com]

[…] and 1/3 were diagnosed with some sort secondary otalgia.[5] A common cause of primary otalgia is ear infection called otitis media, meaning an infection behind the eardrum [en.wikipedia.org]

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Chronic Sinusitis

BACKGROUND: Chronic rhinosinusitis (CRS) is a commonly observed sequela after radiation therapy to the paranasal sinuses. The histopathologic features of radiation-induced CRS have yet to be determined and may have major implications in disease management. METHODS: A structured histopathology report was utilized[…] [ncbi.nlm.nih.gov]

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Sclerosing Keratitis

耳口蓋指症候群】*otopalatodigital syndrome 【耳垢症】*ceruminosis 【耳疾患】【耳病】*otopathy 【耳出血】*otorrhagia 【耳真菌症】*otomycosis 【耳神経痛】*otoneuralgia 【耳神経帯状疱疹】【耳性帯状疱疹】*herpes zoster oticus[L] 【耳痛】*otalgia [medo.jp]

Clinical features: Episcleritis or scleritis Mild superficial punctate keratitis or severe sclerosing keratitis Peripheral corneal infiltrates which may progress to marginal [dro.hs.columbia.edu]

hard, keras, horn, itis, inflammation 1 a form of corneal inflammation in which nodular infiltrates appear near the margin of the cornea in association with a ring of anterior [medical-dictionary.thefreedictionary.com]

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Ophthalmoplegia

Source : AAO Acanthamoeba keratitis Causes This infection is caused by a microscopic, free-living ameba (single-celled living organism) called Acanthamoeba. [provisu.ch]

Treating the pneumonia will also treat the otalgia. A Segond fracture is pathognomonic for ACL injury. [roshreview.com]

infiltrate or ulcer Topical broad-spectrum antibiotics (e.g., ciprofloxacin) Herpes zoster keratitis Corneal sensation Punctate lesions on the corneal surface (early disease [amboss.com]

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Traumatic Brain Injury

Abstract In this study, we report on a patient who developed apathy resulting from injury to the prefrontocaudate tract following mild traumatic brain injury (TBI), which was observed on diffusion tensor tractography (DTT). A 46-year-old female patient was involved in a bus accident. Her history included[…] [ncbi.nlm.nih.gov]

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Respiratory Syncytial Virus Infection

BACKGROUND: To evaluate the role of serum cytokines in the pathogenesis of respiratory syncytial virus (RSV) infection in infants with low birth weight (LBW). METHODS: A prospective observational study was performed, and hospitalized children with lower respiratory tract infection (LRTI) were recruited. Three[…] [ncbi.nlm.nih.gov]

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