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[耳霉菌病:病因及诱发因素分析]

[Otomycosis: etiology and analysis of predisposing factors].

作者信息

Oliveri S, Capello G, Napolitano M G, Triolo C, Grillo C

出版信息

Boll Ist Sieroter Milan. 1984;63(6):537-42.

PMID:6442867
Abstract

An otomycosis was found in 80 cases of external otitis on a total of 132. Itching was the characteristic beginning, rapidly followed by pain, conductive hearing loss, tympanic perforation. Aspergillus was isolated in 81.7% of cases: in particular, A. niger in 67.1% of cases. A. flavus in 13.4% A. fumigatus in 1.2%. Candida albicans was isolated in 11% of cases. A statistical analysis based on chi 2 test was performed to evaluate the role of possible predisposing factors. Highly significant factors resulted to be working in gardens (P less than 0.005) or using mechanical removing devices. Not significant resulted to be swimming, water irrigations or antibiotic therapies: however infirmities were often not reliable. The above mentioned highly significant factors seem to be able to determinate the overlaying of otomycosis.

摘要

在132例外耳道炎患者中,发现80例患有耳霉菌病。瘙痒是其典型的起始症状,随后迅速出现疼痛、传导性听力损失、鼓膜穿孔。81.7%的病例分离出曲霉菌:其中,黑曲霉占67.1%,黄曲霉占13.4%,烟曲霉占1.2%。11%的病例分离出白色念珠菌。采用卡方检验进行统计分析,以评估可能的诱发因素的作用。结果显示,在花园工作(P<0.005)或使用机械清除装置是高度显著的因素。游泳、水冲洗或抗生素治疗无显著影响:然而,身体虚弱情况往往不可靠。上述高度显著的因素似乎能够决定耳霉菌病的叠加。

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