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Pediatric Infectious Disease Journal:
Instructive Cases

Fungal Biofilm Formation on Cochlear Implant Hardware After Antibiotic-Induced Fungal Overgrowth Within the Middle Ear

Cristobal, Ricardo MD, PhD*; Edmiston, Charles E. Jr. PhD†; Runge-Samuelson, Christina L. PhD*; Owen, Heather A. PhD‡; Firszt, Jill B. PhD*; Wackym, P. Ashley MD, FACS*

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Cochlear implantation in patients with chronic suppurative otitis media is managed with perioperative antibiotics; however, fungal overgrowth can occur. We present a child who received oral cefdinir and topical ofloxacin (Floxin). After 6 weeks, a fungal (Candida) biofilm was demonstrated on the implant surface. In this clinical setting, an antimicrobial strategy using an oral antifungal to prevent fungal overgrowth is a possibility.

© 2004 Lippincott Williams & Wilkins, Inc.


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