Hazarika P, Zachariah Joyse, Victor John, John Molly, Devi Chitra, Abraham Prakash
New Medical Centre, Abu Dhabi, UAE.
Indian J Otolaryngol Head Neck Surg. 2012 Mar;64(1):90-4. doi: 10.1007/s12070-011-0156-3. Epub 2011 Feb 23.
Mucor is a saprophytic organism and commonly invades the nose and paranasal sinuses of immunocompromised and diabetic patients involvement of the middle ear and mastoid in a nondiabetic patients is very rare and this may be the first case report clinical presentation of ear pain with reference to the mastoid and upper neck may be the early symptoms unlike the foul smelling ear discharge as seen in atticoantral disease. Radical debridement in the form of M.R.M with or without the use of amphotericin B may suffice in non-diabetic patients this case is reported to highlight the point that mucormycosis can also involve middle ear and mastoid in nondiabetic patients.
毛霉菌是一种腐生生物,通常侵袭免疫功能低下和糖尿病患者的鼻腔及鼻窦。非糖尿病患者中耳和乳突受累非常罕见,这可能是首例病例报告。耳部疼痛伴乳突和上颈部疼痛可能是早期症状,这与鼓室窦疾病中所见的恶臭耳漏不同。对于非糖尿病患者,采用或不采用两性霉素B的改良乳突根治术形式的彻底清创术可能就足够了。报道此病例是为了强调毛霉菌病也可累及非糖尿病患者的中耳和乳突这一点。