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[耳鼻咽喉科真菌病全景]

[Panorama of mycoses in otorhinolaryngology].

作者信息

Drouhet E, Dupont B

出版信息

Ann Otolaryngol Chir Cervicofac. 1982;99(12):517-25.

PMID:6760773
Abstract

Three classes of important mycoses in O.R.L. field can be recognized according to the responsible fungi and to thier physiopathology: 1) mycoses due to cosmopolite, opportunistic fungi, yeast-like fungi (Candida albicans, Cryptococcus neoformans, Torulopsis glabrata) or filamentous fungi (Aspergillaceae, Mucoraceae, Penicillia, etc...) invading a compromised host by antibiotics, immunosuppressors, radiotherapy or by severe diseases (hemopathia, diabetes with acidosis). The oropharyngolaryngeal candidosis, the black tongue (a polyfungal syndrome), the sinusal aspergillosis, the otomycoses, the nasalorbital cerebral form of mucormycosis are reviewed and the allergic accompanying symptoms described. 2) deep, systemic mycoses of tropical origin with respiratory entry and oral pharyngeal laryngeal metastatic localizations (histoplasmosis, blastomycosis, paracoccidioidomycosis, coccidioimycosis); the histoplasmosis represent actually the principal imported systemic mycosis with O.R.L. localization. 3) tropical and african mycosis localized exclusively in O.R.L. area (rhino-enthomophtoromycosis and rhinosporidosis).

摘要

根据致病真菌及其病理生理学,可识别出耳鼻喉科领域的三类重要真菌病:1)由世界性、机会性真菌、酵母样真菌(白色念珠菌、新型隐球菌、光滑假丝酵母菌)或丝状真菌(曲霉科、毛霉科、青霉等)引起的真菌病,这些真菌通过抗生素、免疫抑制剂、放疗或严重疾病(血液病、糖尿病伴酸中毒)侵入受损宿主。对口腔咽喉念珠菌病、黑舌(一种多真菌综合征)、鼻窦曲霉病、耳真菌病、鼻眶脑型毛霉病进行了综述,并描述了伴随的过敏症状。2) 起源于热带的深部全身性真菌病,经呼吸道侵入,口腔、咽喉有转移性局部定位(组织胞浆菌病、芽生菌病、副球孢子菌病、球孢子菌病);组织胞浆菌病实际上是具有耳鼻喉科定位的主要输入性全身性真菌病。3) 仅局限于耳鼻喉科区域的热带和非洲真菌病(鼻内 Entomophthoromycosis 和鼻孢子虫病)。

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