多杀巴斯德菌引起的急性化脓性中耳炎1例

Acute suppurative otitis media caused by pasteurella multocida:a case report

患者,男,45岁。于2011年8月诊断为鼻咽癌（T2N2M0,Ⅲa期）,2013年6月肿瘤鼻咽局部复发。2016年3月患者因感冒出现左侧面部麻木不适,伴左侧耳部刺痛（5-6h）、呕吐、乏力,第2天患者遂到当地诊所,予以青霉素、罗红霉素口服抗感染治疗,患者经抗感染治疗后呕吐、乏力较前好转,第3天晨起患者左耳流出黄色脓液,之后一直感觉左耳涨满感。

The pasteurella multocida（PM）is widely gastrointestinal parasitic on dogs,cats and other animals.The PM human infections is caused by animal bites orits close contact.Clinically foundin focal wound infection after bite,and acute suppurative otitis media reportshave not been caused by PM.A 45years-old nasopharyngeal cancer who sudden stabbing painof the left ear for 5h.Physical examination found that the left earexisted a lot of yellowish-white purulent secretion.Distribution and drug sensitivity test of bacteria showed PM and it was sensitive to many antibiotics.nasopharygo-fiberscope revealed that eustachian tube and theleft ear had a large number of purulentsecretion.The main diagnosis was：1Recurrent nasopharyngealcarcinoma;2 Acute suppurative otitis media.Treatment：according to the results of drug sensitive test and skin test inpatients with selection of levofloxacin（0.2g/12h）,clindamycin（0.6g/12h）anti-infection treatment,the patient get better in the end.