鼻窦真菌感染分析

Pathogens Nasal Sinus of Fungal Infection

目的探讨鼻窦真菌感染的病原菌种类,同时为临床医生提供诊断依据。方法将36份鼻窦腔内分泌物做涂片直接镜检、接种培养,鉴定菌种。结果直接镜检34份阳性,占94.4%;真菌培养24份阳性,占70.6%;其中曲霉菌属19株,占44.2%、一种足放线病菌3株,占7.0%、波氏假性霉样真菌1株,占2.3%、链格孢菌属1株,占2.3%。结论鼻窦真菌感染的病原菌以曲霉菌属为主;加强CT、真菌学及组织病理学检查,减少误诊率。

OBJECTIVE To examine directly the fungal pathogens from nasal sinus under microscope and identify them. METHODS The nasal sinus secretion from 36 cases with fungal infection was directly examined microscopically, cultured, and identified for fungi. RESULTS Direct microscopic examination was positive in 34 cases and from them 24 were with positive cultures： 19 had infection of Aspergillus, 3., of Scedosporium spiosperimum,1 of Pseudallescheria boydii, and 1 of Alternaria. CONCLUSIONS Aspergillus are the main pathogens in nasal sinus fungal infection.