Martín A M, Canut A, Muñoz S, Pescador C, Gómez J L
Enferm Infecc Microbiol Clin. 1989 May;7(5):248-51.
Fifteen cases of otomycosis in 11 women and 4 men attending the Clinic Hospital in Salamanca during the period from 1984 to 1988 are discussed. A. niger was the species isolated on the majority of occasions (73.3%). The commonest form of presentation of otomycosis was simple chronic (73.3%). The clinical pictures was characterized by serous secretion and pruritus. Otomycosis with associated bacterial infection (20.0%) was the cause of the most intense symptoms, featuring suppuration and hypoacusia. In 5 patients, local antecedents of interest were observed: three cases of chronic cholesteatomatose otitis in which surgery had been performed; retroauricular eczema, and perichondritis of the ear. Despite topical treatment with clotrimazole, 4 cases of relapse occurred (26.7%) and in none of these was associated bacterial infection observed.
本文讨论了1984年至1988年期间在萨拉曼卡临床医院就诊的15例耳霉菌病患者，其中11名女性，4名男性。大多数情况下分离出的菌种为黑曲霉（73.3%）。耳霉菌病最常见的表现形式为单纯慢性型（73.3%）。临床表现为浆液性分泌物和瘙痒。伴有细菌感染的耳霉菌病（20.0%）是最严重症状的原因，其特征为化脓和听力减退。在5例患者中，观察到了相关的局部病史：3例慢性胆脂瘤型中耳炎患者已接受手术；耳后湿疹和耳部软骨膜炎。尽管使用克霉唑进行了局部治疗，但仍有4例复发（26.7%），且这些病例均未观察到伴有细菌感染。
