糖尿病患者侵袭性真菌性中耳炎：基于病例的回顾。
Invasive Fungal Otitis Media in Diabetic Patients: A Case-Based Review.
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, Peking University, Peking University People's Hospital, Beijing, China.
Department of Otorhinolaryngology, Head and Neck Surgery, Capital Medical University, Beijing Friendship Hospital, Beijing, China.
出版信息
J Int Adv Otol. 2023 Jan;19(1):55-60. doi: 10.5152/iao.2023.22743.
BACKGROUND
Invasive fungal otitis media is clinically rare. The clinical features are often atypical in the early stages of the disease, and delayed treatment results in poor outcomes.
METHODS
In this study, we report 2 patients with invasive fungal otitis media with diabetes. The early diagnosis was confirmed by comprehensive methods such as laboratory tests and imaging examinations, and the condition was significantly improved by antifungal drugs and surgical treatment.
RESULTS
By reviewing the literature, we found that invasive fungal infections confined to the middle ear and mastoid were rarely reported, and the diagnosis and treatment were still controversial.
CONCLUSION
In this article, we summarized and evaluated the different diagnoses and treatment methods so as to better diagnose and improve the cure rate in the early stage of invasive fungal infection of the middle ear.
背景
侵袭性真菌性中耳炎临床上罕见。疾病早期的临床特征往往不典型，治疗延误导致预后不良。
方法
本研究报道了 2 例糖尿病合并侵袭性真菌性中耳炎患者。通过实验室检查和影像学检查等综合方法早期确诊，并通过抗真菌药物和手术治疗显著改善病情。
结果
通过文献复习发现，局限于中耳和乳突的侵袭性真菌感染少见，诊断和治疗仍存在争议。
结论
本文总结评估了不同的诊断和治疗方法，以期在中耳侵袭性真菌感染的早期更好地诊断和提高治愈率。
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