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Published on: February 18, 2015
[Fungal infection in the otorinolaryngologic area]
1Department of Otorhinolaryngology, Goto Cyuoh Hospital.
Abstract:
Recent trends of fungal infections of the ear and nose were introduced from the viewpoint of otolaryngologic practice. Aspergillus terreus was the most common pathogen of otomycosis followed by A. niger and A.flavus. Aspergillosis is the most common fungal disease in the paranasal sinuses. Unilateral opacity of the maxillary sinus which contains flecks of calcification was specifically found by CT-study. These two fungal infections are easily treated surgical removal of the fungus ball and establishment of a drainage route to the nasal passage by endoscopic sinus surgery are effective to manage aspergillomas in paranasal sinuses. These two fungal infections usually occurred in immunocompetent patients and the relationship between diabetes mellitus as the underlying disease is not established.
Insights
Fungal infections like otomycosis and aspergillosis are common in immunocompetent patients. Surgical removal and endoscopic sinus surgery are effective treatments for these ear and nose fungal diseases.
Area of Science:
- Otolaryngology
- Mycology
- Medical Imaging
Context:
- Fungal infections of the ear and nose present unique challenges in otolaryngologic practice.
- Aspergillus species are the predominant pathogens identified in these infections.
Purpose:
- To introduce recent trends in fungal ear and nose infections from an otolaryngologic perspective.
- To highlight common pathogens and diagnostic findings, and outline effective management strategies.
Summary:
- Aspergillus terreus, A. niger, and A. flavus are common causes of otomycosis.
- Aspergillosis is the most frequent fungal sinus disease, often presenting as unilateral maxillary sinus opacity with calcifications on CT scans.
- Surgical excision of fungal balls and endoscopic sinus surgery for drainage are effective treatments for sinonasal aspergillomas.
Impact:
- These infections typically affect immunocompetent individuals, with no established link to diabetes mellitus.
- Effective management relies on surgical intervention and endoscopic techniques for optimal patient outcomes.
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