Bickley L S, Betts R F, Parkins C W
Department of Medicine, University of Rochester (NY) School of Medicine and Dentistry.
Arch Otolaryngol Head Neck Surg. 1988 Sep;114(9):1024-8. doi: 10.1001/archotol.1988.01860210090023.
We report a rare case of invasive external otitis caused by aspergillosis in an elderly nondiabetic patient. Amphotericin B therapy was curative. Atypical features of the presentation delayed diagnosis. Early use of tissue biopsy and culture to guide prompt initiation of therapy is recommended. The clinical spectrum and microbiology of invasive aspergillosis are also reviewed.
我们报告了一例老年非糖尿病患者由曲霉病引起的侵袭性外耳道炎罕见病例。两性霉素B治疗治愈了该病例。该病例的非典型表现延误了诊断。建议早期使用组织活检和培养来指导及时开始治疗。本文还综述了侵袭性曲霉病的临床谱和微生物学。