Department of Otolaryngology, Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Otolaryngology, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
Otolaryngol Clin North Am. 2023 Oct;56(5):909-918. doi: 10.1016/j.otc.2023.06.010. Epub 2023 Aug 7.
Fungal infections of the external auditory canal can range from common (otomycosis) to life threatening (necrotizing otitis externa). Proper identification of fungal pathogens is necessary to guide appropriate therapy, and a high index of suspicion for fungal causes of ear canal disease is critical. Fungal pathogens may be an especially important cause of ear canal disease in certain populations, including patients with diabetes, patients recently treated with antibiotics, and immunosuppressed patients. Opportunistic fungal infections of the ear canal are an emerging concern.
外耳道真菌感染的范围从常见（耳霉菌病）到危及生命（坏死性外耳道炎）。正确识别真菌病原体对于指导适当的治疗至关重要，对于外耳道疾病的真菌感染原因应保持高度怀疑。真菌病原体可能是某些人群中耳道疾病的一个特别重要的原因，包括糖尿病患者、最近接受抗生素治疗的患者和免疫抑制患者。外耳道的机会性真菌感染是一个新出现的关注点。
