Ear: parasitic otitis

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Sections available in full article Introduction, Presenting signs, Age predisposition, Special risks (e.g. anesthetic), Pathogenesis, Etiology, Pathophysiology, Epidemiology (population dynamics), Diagnosis, Presenting problems, Client history, Clinical signs, Diagnostic investigation, Confirmation of diagnosis, Differential diagnosis, Treatment, Standard treatment, Monitoring, Prevention, Group eradication, Sequelae, Prognosis, Expected response to treatment, Reasons for treatment failure, Sources, Publications, Vetstream contributor(s),
Contributors Mr David Scarff BVetMed CertSAD MRCVS
Dr Rosanna Marsella DVM DipACVD
Synonyms Otodectes cynotis, otodectic mange

Introduction

  • Cause : Otodectes cynotis Otodectes cynotis - large, white, free-moving psoroptid mites which live on surface or epithelial lining of ear canal and occasionally skin.
  • Signs : may initiate otitis externa but remain undetected.
  • Diagnosis : identification of mites.
  • Treatment : ear canal cleansing, otic ectoparasiticides.
  • Prognosis : excellent.

Diagnosis

Clinical signs

  • Erythema and swelling.
  • Vasodilation.
  • Dry coffee grounds appearance of otic exudate.
  • Aural hematoma.
  • Acute moist dermatitis face.
  • Pruritus and skin lesions in other body locations.
  • Aural hemorrhage.

Diagnosis

Differential diagnosis

  • All other causes of otitis externa Skin: otitis externa.

Sequelae

Prognosis

  • Excellent providing no other predisposing, primary or perpetuating factors for otitis externa Skin: otitis externa.

Expected response to treatment

  • Regression of clinical signs.
  • No mites seen on otoscopic examination after 3 weeks.

Reasons for treatment failure

  • Inadequate treatment of patient or in-contacts.
  • Predisposing, primary and perpetuating factors for otitis externa not identified or treated.

Sources

Publications

Refereed papers

  • Engelen M A C M (2000) Efficacy on non-acaracidal containing otic preparations in the treatment of otoacariasis in dogs and cats. Vet Rec 147 , 567-569.
  • Paradis M (1998) Ivermectin in small animal dermatology Part II. Extralabel applications. Comp Cont Ed Prac Vet 20 , 459-469.
  • Little C J L (1996) A clinicians approach to the investigation of otitis externa. In Practice 18 , 9-16.
  • Little C J L (1996) Medical treatment of otitis externa in the dog and cat. In Practice 18 , 66-71.
  • Foley R H (1991) Parasitic mites of dogs and cats. Comp Cont Ed Prac Vet 13 , 783-801.
  • Smith E K (1988) How to detect common skin mites through skin scrapings. Vet Med 83 , 165-170.
  • Powell M B, Weisbroth S H, Roth L & Wilhelmsen C (1980) Reaginic hypersensitivity in Otodectes cynotis infestation in cats and mode of mite feeding. Am J Vet Res 41 , 877.
  • Herwick P P (1978) Lesions caused by canine ear mites. Arch Dermetol 114 , 130.
  • Rose W P (1976) Otitis externa - otoacariasis. Vet Med Sm Anim Clin 73 , 427.

Other sources of information

  • Morrelo K A & Mason I S (1995) Handbook of Small Animal Dermatology. Pergamon Press. pp 259-267 (Concise for quick reference).
  • Muller G H et al(1995) Muller and Kirk's Small Animal Dermatology. 5th edn. Philadelphia: W B Saunders. pp 970-987 (Detailed dermatology text book for in-depth reading).
  • Merchant S & Griffin C (1994) The 1994 Ear Care Symposium, Otitis Externa, the 21 Most Commonly Asked Questions. Veterinary Learning Systems Co Inc. (Practical advice on treatment).
  • Griffin C E, Kwochka K W & MacDonald J M (1993) Current Veterinary Dermatology - TheScience and Art of Therapy. St Louis: Mosby Year Book. pp 245-262 (Well presented dermatology text book with good treatment plans).
  • McKeever P J (1993) In: Manual of Small Animal Dermatology. P H Locke, R G Harvey & I S Mason (eds). Cheltenham: BSAVA. pp131-140 (Concise for quick reference).
  • Paradis M (1989) Ivermectin in small animal dermatology. In: Kirk R W Current Veterinary Therapy X - Small Animal Practice.Philadelphia: W B Saunders.

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