过敏性真菌耳乳突炎伴发过敏性真菌鼻鼻窦炎

Vandersteen Clair, J. Pradelli, G. D'andrea, E. Lantéri, L. Tardivet, C. Savoldelli, N. Guevara
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摘要

背景:变应性真菌性耳乳突炎是一种罕见的耳部疾病,其特征是存在一种特殊的中耳粘液,通常在过敏性支气管肺曲霉病中发现。方法:我们报告一例伴有过敏性真菌耳乳突炎和鼻鼻窦炎的27岁男性免疫功能正常,主诉右耳漏和鼻分泌物6个月,对任何药物治疗都无效。检查发现中耳息肉样粘液伴右中耳脓性分泌物。手术治疗未发现胆脂瘤,但有粘稠的黄色粘液和真菌球,这两者都含有曲霉菌。结果:患者术后接受短期全身皮质治疗,6个月后无复发。讨论:面对穿孔性慢性中耳炎引起的黏液,应考虑过敏性真菌性耳乳突炎,特别是当与过敏性真菌性鼻窦炎相关时。完全的手术清创是必要的。©2020 claire Vandersteen。自然图书馆有限公司出版。版权所有
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A Concomitant Allergic Fungal Otomastoiditis with an Allergic Fungal Rhinosinusitis
Background: Allergic fungal otomastoiditis is a rare ear condition characterized by the presence of a specific middle ear mucus usually found in allergic bronchopulmonary aspergillosis. Methods: We report a case of concomitant allergic fungal otomastoiditis and rhinosinusitis in an immunocompetent 27-year-old man complaining of right otorrhea and nasal discharge for 6 months resistant to any medical treatment. Examination revealed a sticky mucus arising from a polypoid middle ear associated with a right middle meatus purulent discharge. Surgical treatment revealed no cholesteatoma but thick yellowish mucus and a fungal ball, as targeted by imaging, both of which containing Aspergillus species. Result: The patient received short postoperative systemic corticotherapy and showed no recurrence 6 months after. Discussion: Allergic fungal otomastoidis should be considered in the face of a sticky mucus arising from perforated chronic otitis, especially when associated with allergic fungal rhinosinusitis. Complete surgical debridement is essential. © 2020 Clair Vandersteen. Published by Nature Library Ltd. All rights reserved
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Advances in Computing: 16th Colombian Congress, CCC 2022, Armenia, Colombia, October 17–21, 2022, Revised Selected Papers Advances in Computing: 15th Colombian Congress, CCC 2021, Bogotá, Colombia, November 22–26, 2021, Revised Selected Papers Effect of Convective Mixing Process on Storage of CO2 in Saline Aquifers with Layered Permeability Synthesis of Tris(arylphosphite)-ligated Cobalt(0) Complexes [Co2(CO)6{P(OAr)3}2], and their Reactivity towards Phenylacetylene and Diphenylacetylene A Concomitant Allergic Fungal Otomastoiditis with an Allergic Fungal Rhinosinusitis
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