만성 화농성 중이염에서 발견된 Aspergillus에 의한 Fungal Ball 1예
A Case of Fungal Ball of Aspergillus in Chronic Otitis Media
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Abstract
Fungal infections in the ear of immunocompetent patients are mainly observed as otomycosis within the external auditory canal. Benign fungal colonization (fungal ball), though they are common in the paranasal sinuses, has never been reported in the middle ear cavity of a healthy population. We present a case of fungal ball in the middle ear of a 30-year-old, immunocompetent male. He did not have any illness except chronic suppurative otitis media in the right ear. On physical examination, only small central perforation was seen in the right tympanic membrane. Temporal bone computed tomography did not reveal any abnormal finding except thickened tympanic membrane. Intraoperative examination demonstrated a dark gray, cheese-like material in the mesotympanum. After tympanoplasty, mycological staining and histopathologic examination identified the surgical sample to be Aspergillus. So we reported, with a review of literature, the first case of Aspergilloma occurring in the middle ear of a healthy patient. (Korean J Otolaryngol 2006;49:651-4)
참고문헌 (17)
- "Mycological and histologicalinvestigation in humans with middle ear infections", 46, pp.12~18 (2003)
- "Fungal infection of the ear Etiology and therapy with bifonazolecream or solution", pp.135~40
- "Clinicomicrobiologicevaluation of active tubotympanic type chronic suppurative otitis media", 29, pp.148~153 (2000)
- "Anaerobes and fungi in chronicsuppurative otitis media", 106, pp.649~652 (1997)
- "Benign Aspergilluscolonization (Aspergilloma) in the middle ear", 125, pp.281~282 (2001)
- "Histopathologyupdate:Otomycosis", 15, pp.74~8 (1994)
- "Mucormycosis of the temporal bone", 91, pp.27~32 (1982)
- "Rhinocerebral and otologicmucormycosis", 79, pp.70~81 (1970)
- "Mycotic infection ofinner ear", 89, pp.1725~34 (1979)
- "Fungal mastoiditisin immunocompromised children", 125, pp.73~75 (1999)
- "Fungal mastoiditis in theimmunocompromised host", 114, pp.198~9 (1988)
- "Aspergillus mastoiditis", 108, pp.167~70 (1993)
- "Aspergillus mastoiditisin a patient with acquired immunodeficiency syndrome", 111, pp.560~561 (1997)
- "Aspergillus otomastoiditisin acquired immunodeficiency syndrome", 20, pp.561~567 (1999)
- "Fungal mastoiditis in an immunocompetentadutlt", 258, pp.106~108 (2001)
- "A case of apergillosis in themastoid antrum", 36, pp.1060~4 (1993)
- "Fungal mastoiditis in animmunocompetent patient", 45, pp.613~616 (2002)