%0 Journal Article
%T Multicentric Case Series and Literature Review of Coccidioidal Otomastoiditis.
%A Schwartz IS
%A Marek C
%A Sandhu H
%A Abdelmonem A
%A Petersen G
%A Dishner E
%A Heidari A
%A Thompson GR
%J Emerg Infect Dis
%V 29
%N 7
%D 2023 07
%M 37347877
%F 16.126
%R 10.3201/eid2907.230129
%X Coccidioidomycosis involving the ear, mastoid bone, or both is uncommon. We describe 5 new cases from the United States and review 4 cases reported in the literature of otomycosis and mastoiditis caused by Coccidioides. Of the 9 cases, 8 were linked to residence in or travel to California. Two patients had poorly controlled diabetes mellitus, 7 had otomastoiditis, 1 had otitis externa without mastoid involvement, and 1 had mastoiditis without otic involvement. Four patients had concurrent or prior pulmonary coccidioidomycosis. Ipsilateral facial nerve palsies developed in 2 patients. All patients received antifungal treatment for varying durations, and 8 of the 9 patients underwent surgical debridement. Clinicians should consider coccidioidomycosis as a differential diagnosis for otomastoiditis in patients with geographic risks.