Morozova O V, Krasnozhen V N, Glushko N I, Khaldeeva E V, Lisovskaya S A
Kazan State Medical Academy, Russian Ministry of Heath, Kazan, Russia, 420059, Kazan Research Institute of Epidemiology and Microbiology, Kazan, Russia, 420015.
Kazan State Medical Academy, Russian Ministry of Heath, Kazan, Russia, 420059.
Vestn Otorinolaringol. 2015;80(4):41-43. doi: 10.17116/otorino201580441-43.
The present work was designed to analyze the results of themycological culture study involving 350 patients at the age varying from 14 to 75 years with the diagnosis otomycosis. The pathogenic fungi known to induce the clinical picture of otomycosiswere identified in 227 (64.8%) patients. The majority of the pathogeneticall most significant species belonged to the genus Candida (45.4%). The mold fungi occurred in 30.8% of the patients. In 11.5% of the cases, they occurred together with bacterial microflora and in 6.7% of the cases in association with the yeast fungi. The species of the genus Aspergillus prevailed among the mold fungi. It is concluded that the complicated forms of otomycosisdevelop as a result of infection caused not only by mold fungi but also by yeast fungi and/or associations of the two groups. These findings suggestthe necessity of usingthe differential approach to the prescription of the adequate medications.
本研究旨在分析对350例年龄在14至75岁之间诊断为耳霉菌病患者的真菌培养研究结果。在227例（64.8%）患者中鉴定出已知可引发耳霉菌病临床表现的致病真菌。大多数在致病方面最为重要的菌种属于念珠菌属（45.4%）。霉菌在30.8%的患者中出现。在11.5%的病例中，它们与细菌菌群同时出现，在6.7%的病例中与酵母真菌同时出现。曲霉属菌种在霉菌中占主导地位。得出的结论是，耳霉菌病的复杂形式是由霉菌、酵母真菌和/或两组真菌联合感染所致。这些发现表明在开具适当药物处方时采用鉴别方法的必要性。
