Bowles Philippe Frederick, Perkins Victoria, Schechter Eyal
Brighton and Sussex University Hospitals NHS Trust, Brighton, Brighton and Hove, UK.
Colchester Hospital University NHS Foundation Trust, Colchester, Essex, UK.
BMJ Case Rep. 2017 Mar 27;2017:bcr2016218420. doi: 10.1136/bcr-2016-218420.
An 89-year-old man presented to the outpatient clinic with a 2-month history of persistent unilateral left-sided otalgia, otorrhoea and reduced hearing despite oral and topical antibiotics. Treatment was protracted, requiring a 4-month hospital admission for intravenous antifungal medication as well as 3 further months of oral antifungal treatment. We describe the clinical presentation, complications and treatment of this potentially fatal condition in the context of an unusual, and easily missed, causative organism.
一名89岁男性因持续左侧耳痛、耳漏2个月且尽管使用了口服和外用抗生素听力仍下降而就诊于门诊。治疗过程漫长,需要住院4个月静脉使用抗真菌药物,以及再进行3个月的口服抗真菌治疗。我们在一种不常见且易漏诊的致病微生物背景下,描述了这种潜在致命疾病的临床表现、并发症及治疗情况。