耳部真菌感染，特别涉及慢性化脓性中耳炎

Fungal infections of ear with special reference to chronic suppurative otitis media.

作者信息

Talwar P, Chakrabarti A, Kaur P, Pahwa R K, Mittal A, Mehra Y N

机构信息

Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chadigarh, India.

出版信息

Mycopathologia. 1988 Oct;104(1):47-50. doi: 10.1007/BF00437923.

DOI:10.1007/BF00437923

PMID:3216882

Abstract

Fungus were found to take important role in ear infections of the 344 patients (CSOM 286, Otomycosis 44, Otitis externa 14), significant fungal infections (with positive smear and culture) were detected on 49%, 79.5%, 66.6% patients respectively. 84.8% patients were detected both by smear and culture, 14.1% patients by culture and 0.1% patients in smear preparation only. In CSOM patients, age predominated in 20-27 yrs group, sex in male below 30 yrs, and Aspergillus flavus, A. niger, Penicillium, A. fumigatus in mycelial fungus, Candida albicans, C. parapsillosis in yeast. But in 18 post antibiotic fungus infected patients Penicillium and A. niger were the important isolates. In otomycosis and otitis externa patients A. niger took the main role.

摘要

在344例耳部感染患者（慢性化脓性中耳炎286例、耳霉菌病44例、外耳道炎14例）中发现真菌起重要作用，分别在49%、79.5%、66.6%的患者中检测到显著的真菌感染（涂片和培养均为阳性）。84.8%的患者涂片和培养均检测到真菌，14.1%的患者仅培养检测到真菌，0.1%的患者仅涂片检测到真菌。在慢性化脓性中耳炎患者中，年龄以20 - 27岁组为主，性别以30岁以下男性为主，丝状真菌中以黄曲霉、黑曲霉、青霉、烟曲霉为主，酵母中以白色念珠菌、近平滑念珠菌为主。但在18例抗生素后真菌感染者中，青霉和黑曲霉是重要的分离菌株。在耳霉菌病和外耳道炎患者中，黑曲霉起主要作用。