Pavlenko S A
Vestn Otorinolaringol. 1990 Jul-Aug(4):70-4.
In the Kuzbass region the author examined 238 patients, aged 15 to 80 years, with persistent otitis or inflammatory pathologies of the ears that could not be cured by routine therapy. As a result, in 90 patients (37.8%) otomycosis was diagnosed. Mycosis of the external acoustic meatus was identified in 43 patients (55 mycotic ears or 52.4%), fungal otitis media was found in 21 patients (22 ears or 20.9%), and mycosis of the postoperative cavity was detected in 26 patients (28 mycotic cavities or 26.7%). The following fungi occurred most frequently: Aspergillus niger (75.2%), Candida albicans (6.7%), and Penicillium flavum March (3.8%). In the presence of fungi the bacterial growth was less significant, thus indicating the predominant role of fungi during otomycosis. Nitrofungin and clotrimazol in combination with 1% decamine ointment were effectively used in the treatment. A good antipruritic drug was 7% chloracetophose ointment. Out of 90 patients complete regression was recorded in 84 cases, with 6 patients having relapses.
在库兹巴斯地区，作者检查了238名年龄在15至80岁之间、患有持续性中耳炎或耳部炎症性疾病且常规治疗无法治愈的患者。结果，90名患者（37.8%）被诊断为耳霉菌病。外耳道霉菌病在43名患者中被发现（55只霉菌感染耳，占52.4%），真菌性中耳炎在21名患者中被发现（22只耳，占20.9%），术后腔霉菌病在26名患者中被检测到（28个霉菌感染腔，占26.7%）。以下真菌最为常见：黑曲霉（75.2%）、白色念珠菌（6.7%）和黄青霉March（3.8%）。在有真菌存在的情况下，细菌生长不太明显，这表明真菌在耳霉菌病中起主要作用。硝基夫菌素和克霉唑与1%的地卡明软膏联合使用在治疗中效果显著。一种良好的止痒药物是7%的氯乙酰甲胺磷软膏。90名患者中，84例症状完全消退，6例复发。
