{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T11:54:31Z","timestamp":1772452471114,"version":"3.50.1"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,2]]},"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n This study aimed to determine the prevalence of undiagnosed diabetes and prediabetes in patients presenting with recurrent otomycosis and to evaluate associated risk factors, fungal profiles and cerumen pH variations.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross-sectional study included 213 adults with greater than or equal to two episodes of otomycosis. Glycaemic status was assessed using fasting blood sugar, post-prandial blood sugar and glycated haemoglobin. Fungal identification and cerumen pH measurement were performed. Multivariate analysis identified predictors of recurrence.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Undiagnosed diabetes and prediabetes were found in 30 per cent and 13 per cent of patients, respectively.\n Candida albicans<\/jats:italic>\n predominated in diabetics, while\n Aspergillus niger<\/jats:italic>\n was common in normoglycaemics. Cerumen pH was significantly higher in diabetics (6.6) compared to normoglycaemics (5.3). Glycated haemoglobin greater than or equal to 6.5 per cent,\n Candida<\/jats:italic>\n infection and steroid ear drop use were independent predictors of recurrence.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n A substantial proportion of patients with recurrent otomycosis harbour unrecognised glycaemic abnormalities. Routine diabetes screening in ENT clinics may aid in early metabolic disease detection and reduce recurrence rates.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s0022215125104039","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T04:49:43Z","timestamp":1765255783000},"page":"177-182","source":"Crossref","is-referenced-by-count":1,"title":["Recurrent otomycosis in patients with undiagnosed diabetes mellitus: a clinical analysis"],"prefix":"10.1017","volume":"140","author":[{"given":"Nishant","family":"Gill","sequence":"first","affiliation":[{"name":"Government Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9206-4770","authenticated-orcid":false,"given":"Varchasvi","family":"Meena","sequence":"additional","affiliation":[{"name":"Jhalawar Medical 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patients","volume":"186","author":"Liu","year":"2021","journal-title":"Mycopathologia"},{"key":"S0022215125104039_ref4","first-page":"8","article-title":"Otomycosis: a study in Madurai","volume":"2","author":"Venugopal","year":"1996","journal-title":"Indian J Otolaryngol"},{"key":"S0022215125104039_ref5","first-page":"123","article-title":"Otomycosis: clinical features, predisposing factors and treatment implications","volume":"16","author":"Habib","year":"2015","journal-title":"Egypt J Ear Nose Throat Allied Sci"},{"key":"S0022215125104039_ref21","first-page":"23","article-title":"The prevalence of diabetes mellitus in otomycosis patients at a Malaysian tertiary centre","volume":"24","author":"Ramli","year":"2017","journal-title":"Malays J Med Sci"},{"key":"S0022215125104039_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510009678X"},{"key":"S0022215125104039_ref19","first-page":"287","article-title":"Molecular identification and antifungal susceptibility of clinical Aspergillus isolates from otomycosis patients","volume":"10","author":"Seifi","year":"2018","journal-title":"Iran J Microbiol"},{"key":"S0022215125104039_ref20","first-page":"1","article-title":"Recurrent otomycosis: a marker of hidden diabetes mellitus","volume":"13","author":"Maheshwari","year":"2021","journal-title":"Int J Otorhinolaryngol Clin"},{"key":"S0022215125104039_ref8","first-page":"487","article-title":"Otomycosis: a review","volume":"134","author":"Bassiouny","year":"2020","journal-title":"J Laryngol Otol"},{"key":"S0022215125104039_ref10","first-page":"727","article-title":"Factors involved in fungal infections in diabetes mellitus","volume":"3","author":"Balkis","year":"2009","journal-title":"J Infect Dev 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