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[外耳道真菌病:15例病例报告]

[Otomycosis: presentation of 15 cases].

作者信息

Martín A M, Canut A, Muñoz S, Pescador C, Gómez J L

出版信息

Enferm Infecc Microbiol Clin. 1989 May;7(5):248-51.

PMID:2490720
Abstract

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.

摘要

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。

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