Dhindsa M K, Naidu J, Singh S M, Jain S K
Department of Biological Sciences, R. D. University, Jabalpur, India.
J Med Vet Mycol. 1995 Jan-Feb;33(1):59-61.
A case of chronic suppurative otitis media is described in a patient with a chronic cold and cough. The presenting symptoms were otorrhoea, perforation of the tympanic membrane and granulation in the air cells of the left mastoid cavity. X-ray showed sclerotic mastoid and partial cellular obliteration. Histologic sections revealed aggregated fungal masses, filamentous hyphae and single-celled structures of Paecilomyces variotii. The infection responded to topical ketoconazole therapy. This is the first reported case of chronic suppurative otitis media caused by P. variotii.
本文描述了一例患有慢性感冒和咳嗽的慢性化脓性中耳炎患者。其主要症状为耳漏、鼓膜穿孔以及左乳突腔气房内肉芽形成。X线显示乳突硬化及部分气房闭塞。组织学切片显示有聚集的真菌团块、丝状菌丝以及拟青霉的单细胞结构。该感染对局部酮康唑治疗有反应。这是首例报道的由拟青霉引起的慢性化脓性中耳炎病例。
