耳真菌病误诊为化脓性中耳炎12例的临床体会

Clinical Experience of 12 Otomycosis Cases Misdiagnosed as Suppurative Otitis Media

目的报道耳真菌病误诊为化脓性中耳炎并探讨确认的检查和治疗方法。方法对秀英区长流中心卫生院12例诊断为化脓性耳中炎患者,外耳道深部取分泌物,接种于血琼脂平板,37℃温箱培养,24 h后观察是否有菌丝和孢子。确认者给予达克宁软膏涂在外耳道的皮肤及鼓膜表面,每天1次,至感染消失止,治疗时间为1～2周。结果 12例患者经上述确认和治疗后炎症消失,随诊半年,无1例复发,且第2个月复诊时鼓膜穿孔已经自然愈合。结论正确检查和诊断耳真菌病,可及时正确治疗以避免误诊导致的用药不当和久治不愈。

Objective To report the test method and treatment of otomycosis that misdiagnosed as suppurative otitis media. Methods Twelve patients misdiagnosed as suppurative otitis media were collected from Changliu Central Health Center of Xiuying district. The seereta was sampled from the deeper part of external auditory canal and were inoculated to agar plate, which was cultivated in 37 ℃ incubator for one time each day until the disappearance of the infection. The treatment duration was 1 - 2 weeks. Results The 12 patients were free of inflammation after conducted aforemen- tioned examination and received treatments. By 6 months follow - up, no case relapsed and the inflammation was healed up in the second month of treatment. Conclusion Correct examination and diagnosis of otomycosis are important to proper treatment and can avoid the improper medication and long treatment.