Recent Aspects of Fungal Diseases in Otolaryagology, Especially on Fungal Infection of Postoperative Ear Cavity

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概要

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• Recent advances in knowledge of mycotic diseases, otomycosis, nasal aspergillosis, candidiasis and mucormycosis, deep-seated candidiasis of the mouth and throat, were summarised and several cases of uncommon mycosis reported lately in Japan, such as candidiasis of the middle ear, sporotrichosis of the maxillary sinus, rhinosporidiosis, chromoblastomycosis of the throat extended to the mouth, lung and ear, were briefly presented.Fungal infection of postoperative ear cavity was fully discussed. The author believed that for exact diagnosis the following criteria would be indispensable: (1) confirmation of fungus growth in the ear by direct examination of membranous mass removed from the cavity, (2) culture and identification of the fungus to verify that it is one of the ascertained pathogens of otomycosis such as Aspergillus terreus, A. fumigatus, A. niger, A. flavus, A. oryzae, Candida albicans, C. tropicalis, or Scopulariopsis, (3) rapid cure of the troubles along with extermination of the fungus in the ear cavity by the use of the specific antifungal agent, phenylmercuric acetate, d. i. diagnosis ex juvantibus.In the author's clinic, some twenty per cent of the patients suffering from troubles in postoperative ear cavity were decided to have had fungal infection fulfilling all three criteria mentioned above.The incidence of each pathogenic fungus was as follows: Aspergillus terreus 11, A. fumigatus 6, A. oryzae 4, A. niger 3, A. flavus 3, Candida albicans 3, Scopulariopsis brevicaulis 1.

• 耳鼻咽喉科臨床学会の論文

著者

• 山下 憲治

  国立京都病院

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• Recent Aspects of Fungal Diseases in Otolaryagology, Especially on Fungal Infection of Postoperative Ear Cavity

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