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齐金乔尔和平医院(塞内加尔)耳真菌病的流行病学概况

Epidemiological Profile of Otomycosis at the Peace Hospital of Ziguinchor (Senegal).

作者信息

Diop Abdoulaye, Younes Hussein, Diop Papa Samba, Diallo Kalilou, Sambou Youssouph, Diongue Khadim, Ndiaye Mouhamadou, Coly Mame Ngoné, Sarr Habibou, Diom Evelyne Siga, Ndiaye Daouda

机构信息

Health Science Training and Research Unit, Assane SECK University of Ziguinchor, Ziguinchor 27000, Senegal.

PEACE Hospital of Ziguinchor, Ziguinchor 27000, Senegal.

出版信息

J Fungi (Basel). 2025 Mar 12;11(3):218. doi: 10.3390/jof11030218.

Abstract

The investigation of the fungal etiologies of otomycoses is a rare occurrence in Senegal. The present study aspires to ascertain the profile of these mycoses within the confines of Ziguinchor. Conducted from 3 February 2021 to 31 August 2022, this retrospective descriptive study encompassed a total of 82 patients presenting with clinically suspected otomycosis within the otolaryngology (ENT) department of the Ziguinchor Peace Hospital (ZPH). In this study, two samples were collected from the external auditory canal (EAC) of each patient using sterile swabs. These samples were first observed by direct microscopy and then cultured at 30 °C on Sabouraud chloramphenicol with or without cycloheximide. The identification of the isolates was based on their macroscopic, microscopic, and physiological characteristics. The mycological examination was positive in 70 patients, with a prevalence of 85.37%. The most prevalent fungal isolates were (30%), (20%), and (10%). Of the clinical signs examined, auricular pruritus ( = 1.7033 × 10) was the only one to demonstrate a positive correlation with the onset of otomycosis. These results indicate that fungal agents play a significant role in the pathogenesis of otitis externa, underscoring the importance of mycological diagnosis in ensuring optimal patient management.

摘要

在塞内加尔,对耳霉菌病的真菌病因进行调查的情况较为罕见。本研究旨在确定齐金乔尔地区范围内这些霉菌病的情况。这项回顾性描述性研究于2021年2月3日至2022年8月31日进行,共纳入了齐金乔尔和平医院耳鼻喉科临床疑似患有耳霉菌病的82例患者。在本研究中,使用无菌拭子从每位患者的外耳道采集两份样本。这些样本首先通过直接显微镜观察,然后在30°C下于含或不含环己酰亚胺的沙氏氯霉素培养基上培养。分离菌株的鉴定基于其宏观、微观和生理特征。70例患者的真菌学检查呈阳性,患病率为85.37%。最常见的真菌分离株为(30%)、(20%)和(10%)。在所检查的临床症状中,耳部瘙痒(=1.7033×10)是唯一与耳霉菌病发病呈正相关的症状。这些结果表明,真菌病原体在外耳道炎的发病机制中起重要作用,强调了真菌学诊断在确保患者最佳治疗管理中的重要性。

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